| NPI | 1710420914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUELL CLYDE DEMERS Owner 1307-772-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WY WD1975) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-03-31 |