| NPI | 1770672164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY JONISE BENNETT Managing Member 907-245-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171W00000X Contractor |
| 171WH0202X Contractor, Home Modifications | |
| 171WV0202X Contractor, Vehicle Modifications | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-03-30 |