| NPI | 1437375862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKIE A MILLER Owner President 623-463-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07612426B) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-07 |