| NPI | 1790302651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ALLEN CEO 928-787-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |