| NPI | 1053379172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BLISS CEO 801-713-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT J05892) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-08-15 |