| NPI | 1215631650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA WYNII OW Operations Manager 702-769-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |