| NPI | 1144470287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN PATRICIA CREAN CEO 602-460-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 5117) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |