| NPI | 1124398839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WADE Corporate Secretary 702-533-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NV NV20101896956) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |