| NPI | 1376786319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEROLD MICHAEL DEGROFF Sole Member 480-321-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |