| NPI | 1346418621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI M DAVENPORT Office Manager 801-261-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |