| NPI | 1578037602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LOFREDO Administrator 480-365-8825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |