| NPI | 1316144090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L BEAUDOIN Managing Member 480-495-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-14 |