| NPI | 1063045656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director 702-480-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-08-20 |