| NPI | 1104103555 |
|---|---|
| Other Name | BOUTIQUE OF HOPE |
| Entity Type | Organization |
| Authorized Contact | DENNIS E DAHLEN Sr VP Finance 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2012-01-04 |