| NPI | 1538594858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAD LONDON MORRIS Owner 435-531-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2014-12-12 |