| NPI | 1750387114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA A. BEAVER President 702-369-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 2000087.424) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |