LIFE SKILLS NUTRITIONAL SUPPLEMENTS NPI 1750374443

NPI Information

LIFE SKILLS NUTRITIONAL SUPPLEMENTS is a durable medical equipment medical supplies in Midvale, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LIFE SKILLS NUTRITIONAL SUPPLEMENTS NPI is 1750374443. The provider is registered as an organization entity type.

The provider's business location address is:

6912 S 185 W
SUITE A
MIDVALE, UT
ZIP 84047-719
Phone: (801) 554-1830
Fax: (801) 858-2626

The provider's authorized official is Angie Jeanie Doherty .
The authorized official title is Manager and has the following contact phone number (801) 554-1830.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 12/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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