| NPI | 1013807361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE MERRILL Director Of Billing 702-839-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |