| NPI | 1821380312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WILLIAM HARRIS Owner 907-344-6216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AK 954274) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |