NPI | 1558413724 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 56287) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 56287) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56287) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2018-08-06 |