| NPI | 1255591806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AINUL HODA Officer 480-650-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20268212) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-07-19 |