| NPI | 1871789610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LESTER STRUBLE Owner 907-677-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 746100) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2008-06-13 |