| NPI | 1437116563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LENICK CEO 602-870-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AZ 03008202) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-04-22 |