| NPI | 1235160763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA GILBERT Contract Manager 602-792-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-07-21 |