| NPI | 1376596866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS DIANE JORDAN President 702-649-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00320) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-04-01 |