| NPI | 1568354983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IWIMBONG KUM GHABOWEN Sole Member 702-721-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-25 |