| NPI | 1083865737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY WAYNE DEERING President 928-753-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |