| NPI | 1801980719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STENQUIST FLOWERS Owner 702-568-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-08-27 |