| NPI | 1306362769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE REAVES Chief Financial Officer 435-327-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 14834) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 170014) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-09-08 |