| NPI | 1780053819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON KEVIN JUDD President 801-208-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 14085955-004-STC) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |