| NPI | 1407985211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LACEY President 520-290-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 10175370) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-09-10 |