| NPI | 1992956320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN PATRICIA CREAN CEO 602-460-6596 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 5117) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2010-11-19 |