| NPI | 1679760342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN L LIGHT Administrator/Controller 520-325-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AZ 1951) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2015-02-16 |