| NPI | 1760238349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ROBERSON Compliance Officer 602-818-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2025-08-12 |