Organization
HOME FRONT PUMPS WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY BRIHMADESAM (PRESIDENT)
(404) 368-5382
Entity
Organization
Contact information
Practice address
11239 CACTUS TOWER AVE UNIT 101, LAS VEGAS, NV 89135-3449
(404) 368-5382
Mailing address
11239 CACTUS TOWER AVE UNIT 101, LAS VEGAS, NV 89135-3449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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