| NPI | 1962534867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE S THURSTON Office Manager 307-347-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 5442A) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-01-03 |