| NPI | 1235651399 |
|---|---|
| Former Legal Business Name | OM THIRSTY LLC |
| Entity Type | Organization |
| Authorized Contact | ABEL M SAUCEDO Owner 480-462-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |