| NPI | 1841448271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD P HUXFORD Chief Execuative Officer 307-362-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WY 431) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2021-05-05 |