| NPI | 1205286168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GIBBS President 702-793-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 604-000-651) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2018-08-17 |