| NPI | 1609163112 |
|---|---|
| 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 |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56240) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-08-06 |