| NPI | 1568532356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JEFFERSON MERIDETH Partner 702-396-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV H13002994131149) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |