| NPI | 1851491864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCKERNAN Executive Director 702-885-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-08-13 |