| NPI | 1558887927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE REAVES Chief Financial Officer 801-492-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 10186558-1714) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-10-29 |