| NPI | 1285272435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANN WITHROW Member Manager 623-933-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |