| NPI | 1639277239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM SIDES President 702-646-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 1000547469) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |