| NPI | 1770500605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 54978) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 54978) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 54978) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-08-06 |