| NPI | 1760085104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW VANCE Managing Member 602-339-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-06-29 |