| NPI | 1740521335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ERICKSON Owner 307-885-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2021-04-12 |