| NPI | 1538560610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SHAFER Administrator 623-330-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |