| NPI | 1932293065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK S MCINROY Owner 307-632-4147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 1008704) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-06-11 |