| NPI | 1962920470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BUSTANOBY Senior Vice President Of Operations 702-259-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |