| NPI | 1780728535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEREG P BOISJOLIE President 801-544-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 5087382-1714) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-02-01 |