| NPI | 1245523356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JAMES DESIDERIO President 520-302-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |