| NPI | 1992774848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW E GROSHART Owner 307-672-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 185T) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-03-19 |