| NPI | 1497110084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE D HINES Owner 702-579-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20151725673) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-01-14 |