| NPI | 1912296336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ANDREW HOVEY Owner/Operator 928-522-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |