| NPI | 1699910042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALIY BELYAVSKIY Owner 720-581-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2009-07-02 |