| NPI | 1518151406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MANGUM Clinical Administrator Owner 435-755-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-01-04 |