| NPI | 1053361360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY THOMAS Manager 800-225-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ F-1133660-4) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-08-19 |