| NPI | 1265837165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE WESLEY BOATRIGHT Owner CEO 520-979-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 3033196) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |