| NPI | 1578605341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELECHI AGWARA Director 702-678-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NV MP00814) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-12-03 |