| NPI | 1548661929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA MAUREEN SIMMONS Administrator 928-351-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |