| NPI | 1770113706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR EDWARDS President 435-868-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |