| NPI | 1629191960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KENNELLEY Practice Manager 702-731-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-01-03 |