| NPI | 1316243058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE S DINGES President 480-656-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 259082) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |