| NPI | 1639410251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE F. RUSSELL Executive Director 602-267-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 640) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |