| NPI | 1750823571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA MEADOWS Administrator 928-639-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |