| NPI | 1518392430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALISHA RENE HEIDEN Owner 480-857-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |