| NPI | 1801944491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY LEE JACKSON Owner 775-428-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NV 207653) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |