| NPI | 1770723348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LEWIS President 307-413-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY PT1042) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-10-09 |