| NPI | 1528312089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director 702-450-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA G58102) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2025-09-26 |