| NPI | 1306075460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD S PACKER V. Pres. 801-733-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: UT F49313) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |