| NPI | 1225179914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L CROWL President 602-228-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20-162328) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AZ 20-162328) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-10-01 |