| NPI | 1336764844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN WENDER President 702-272-0230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-03-08 |