| NPI | 1720427917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KASSAL Office Manager 303-422-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 2851) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |