| NPI | 1790879039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RILEY General Manager 303-912-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 4241657) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |