| NPI | 1861830747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEZLEE HODGE Owner/ Member 602-758-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |