| NPI | 1326907940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SPECK JR Manager 702-727-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-02-06 |