| NPI | 1841600921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SPENCER Administrator 623-777-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 42990) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2019-09-19 |