| NPI | 1609599802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY A MILDENBERGER Director Of Clinical Services/Comp 801-590-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |