| NPI | 1134130842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 54914) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: CA PHY 50552) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 54914) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA PHY 50552) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY 50552) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-07-25 |