| NPI | 1356324123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMELDA UMOH EKPOUDIA Administrator 702-364-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-11-24 |
| Last Update Date | 2020-08-22 |