| NPI | 1750377461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MARK HADLEY Owner 801-627-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: UT 50271901714) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |