| NPI | 1851544456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN D WALKER Managing Director 602-405-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |