| NPI | 1821401902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR WILLIAMS President 801-569-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 5289372-0501) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-06-12 |