| NPI | 1255840757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RADACOSKY President 602-206-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |