Organization · Type 2 NPI
Grassroots Medical Supply
Durable Medical Equipment & Medical Supplies · Winlsow, AZ
NPI number
1750809836
Active
Practice location
Nec Navajo Route 15 And 60, Suite #2
Winlsow, AZ 86047
Mailing address
28 N. Highway 77, Pmb 5105
Holbrook, AZ 86025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1750809836
Grassroots Medical Supply's National Provider Identifier is 1750809836, issued on Sep 8, 2017. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Winlsow, AZ. The record was last updated on Sep 8, 2017.