| NPI | 1649820812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAILIN CARMENATE RIVAS Administrator 702-733-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-10-10 |