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