| NPI | 1922016823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SUSA General Partner 702-363-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |