| NPI | 1922003664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ROBERSON Cco 480-528-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2024-06-07 |