| NPI | 1790029759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director 702-480-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-04-02 |