| NPI | 1750317095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ALBERT BETETA Owner 303-423-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |