| NPI | 1780918466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J ANGELLO Manager 970-248-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 5257) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO DR-39442) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |