| NPI | 1841351954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ODOM CEO 307-754-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WY 07084) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-10-06 |