| NPI | 1053645101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN SIMMS President 480-575-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20162822) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |