| NPI | 1518454792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN POULOS Owner 480-614-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-08-20 |