| NPI | 1134374077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ PIEDAD MCLEES Owner/Manager 623-218-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |