| NPI | 1770579971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE MEACHAM President 435-734-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 5132186-1714) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2016-02-04 |