| NPI | 1811201569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIAN LEE MIZER Executive Director 719-634-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |