| NPI | 1922436070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER SIMS Member 702-350-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV nv20131247105) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV nv20131247105) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |