NPI | 1154332880 |
---|---|
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: AZ 444) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AZ Y03865) |
251F00000X Home Infusion (Licence: AZ Y003865) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2018-08-03 |