| NPI | 1528535317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERCE WAYCHOFF Sole Mbr 602-482-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |