| NPI | 1578260857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ROBERSON Compliance Officer 602-818-5258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2025-08-11 |