| NPI | 1033286125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD P FARRETTA Owner 480-947-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20127625) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-11-19 |