| NPI | 1164723664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARIE SALMON Owner 623-939-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |