| NPI | 1770340978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRICK D WESLEY President 702-810-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-04-11 |