| NPI | 1336594571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE COLLEEN CRAWFORD Owner 602-686-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |