| NPI | 1720485253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY ACEDO Finance Executive 480-829-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20579789) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |