| NPI | 1851710750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA BRATTAIN Office Manager 907-929-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 987570) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |