NPI | 1679635718 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT TIONGSON BATUNGBACAL Manager 702-597-0518 |
Organization Subpart ? | No |
Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: NV 003302187) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 003302187) |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2020-08-22 |