| NPI | 1881860880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI PRIVETT Owner/Member 520-296-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: NV MP00527) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |