| NPI | 1700856390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE JONES NOLINE Executive Director 928-283-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ 457730) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 03-028432Z) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 459512) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-03-26 |