| NPI | 1053574095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE S. MCDONOUGH CEO/Owner 801-263-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |