| NPI | 1487869038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY GIBB Office Manager 801-298-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |