| NPI | 1801299714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN WILLIAM JOHNCOCK President 801-430-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 10000250003) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2024-02-08 |