| NPI | 1790032233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RANDOL WOMACK CEO/Owner 623-266-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2013-03-28 |