| NPI | 1669784575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI WINGET Manager 801-803-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 332BX2000X) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: UT 332BC3200X) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: UT 332BN1400X) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |