| NPI | 1568015758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALLEN WAYCHOFF COO/Manager 480-634-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |