| NPI | 1750374443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE JEANIE DOHERTY Manager 801-554-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 20021545) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-12-02 |