| NPI | 1568480143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVET BERRY President 623-875-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 5768840001) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-06-21 |