| NPI | 1881787612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA G. EDWARDS Owner / Fitter 907-373-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 200280) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-08-04 |