| NPI | 1639755085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANA SHIPLEY Manager 602-803-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-08-31 |