| NPI | 1790921690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID BEAL Co Owner 801-809-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2012-04-23 |