| NPI | 1114794575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY CHRISTENSEN Owner/General Manager 435-452-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-01-24 |