| NPI | 1922291079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE BERNARD AYDELOTT Co Owner 303-988-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 42-40450-0000) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |