| NPI | 1629181656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY R. MANTHEI Medical Director 702-896-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |