| NPI | 1932139771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M SMITH President/Owner 719-846-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |