| NPI | 1447449384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY MC DONALD CEO Manager 602-493-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-12-26 |