| NPI | 1750430914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNETH BALLANTYNE President 435-251-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |