| NPI | 1881884633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WESLEY COLAVITO Owner 520-323-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2009-04-03 |