| NPI | 1801081419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL K HANSEN Sole Owner 907-225-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AK 268848) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2011-10-27 |