| NPI | 1255675344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEZLIE F KELLY Sole Mbr 520-404-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 3025208) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |