| NPI | 1053865246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | 6773 MANAGEMENT Manager 480-482-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2017-01-18 |