| NPI | 1952441164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SUAZO Director Of Human Resources 307-745-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-01-21 |