| NPI | 1790095586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN SCHULTZ President 702-876-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 20131609510) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2014-07-09 |