| NPI | 1336420744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL O IGELEKE Treasurer/Administrator 702-547-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20111500986) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2012-07-02 |