| NPI | 1720495146 |
|---|---|
| Other Name | PEORIA DME |
| Entity Type | Organization |
| Authorized Contact | CATHY HARDESTY Director Of Admin Operations 623-241-6101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2015-09-10 |