| NPI | 1023105186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY JANE SHERRARD Owner 928-541-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 5200-61900-16) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2009-10-15 |