| NPI | 1114108826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELYNN HADLOCK Treasurer 480-962-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2011-10-10 |