| NPI | 1861850315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JAY APPLEBURY Owner 907-250-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-03-31 |