| NPI | 1154486066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY D. HANSEN Chief Financial Officer 520-694-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ H-0134) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-07-22 |