| NPI | 1740790393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ABRAHAM Authorized Official 602-338-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2020-04-24 |