| NPI | 1427275619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMM O KLEYENSTEUBER Owner 623-628-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: AZ 20085770) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-08-30 |