| NPI | 1902125784 |
|---|---|
| Doing Business As | MOUNTAIN CARE DME |
| Entity Type | Organization |
| Authorized Contact | FRANK FULLMER CEO 801-856-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 7529823-1714) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |