| NPI | 1902994049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SORENSEN Manager 480-563-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 20093349) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |