| NPI | 1871897603 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | BOLA N LEE Director/Manager Of Operations 702-245-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-06-07 |