| NPI | 1891907747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ERNESTINA GRANILLO Owner 480-854-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07-631470-B) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-04-11 |