| NPI | 1881472066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WETJEN Office Manager 623-522-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-11-21 |