| NPI | 1841294519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE R JOHNSON Owner 970-241-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-02-24 |