| NPI | 1861087264 |
|---|---|
| Other Name | CENTENNIAL DME |
| Entity Type | Organization |
| Authorized Contact | MARK J CONKLIN President 303-274-7321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |