| NPI | 1790742591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J SIELATYCKI President 801-756-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: UT 4976364-0151) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |