| NPI | 1922561950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CUCKLER Office Manager 702-877-9977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2020-01-02 |