| NPI | 1992873491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI MITCHELL President 623-780-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ ROC 161858 KB-01) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 0058091) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-11-06 |