| NPI | 1619279411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY COLSON C.E.O 702-743-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 1003167500) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2020-01-06 |