| NPI | 1912734674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PANTELIDES Owner 602-888-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |