| NPI | 1619204161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZIOMEK Owner 480-664-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: AZ 20323913) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-07-08 |