| NPI | 1396148599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MCLEAN Controller 702-487-4203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |