| NPI | 1538449376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A COUNCILMAN Owner/Manager 775-722-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2012-10-09 |