| NPI | 1962433045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES Owner 801-836-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT J09905) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-03-25 |