| NPI | 1780868224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS FEAVEL President 303-403-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335G00000X Medical Foods Supplier |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2023-03-16 |