NPI | 1619280286 |
---|---|
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 (Licence: UT 13019580-004-STC) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2010-07-23 |
Last Update Date | 2018-08-03 |