NPI | 1316643133 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY CHAD MANGUM Owner 435-557-6687 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-02-02 |
Last Update Date | 2025-03-10 |