| NPI | 1013475292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI LYNN LEADLEY CEO & President 602-300-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-08-25 |