| NPI | 1003512211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN ANDREW VALLEE Owner 541-499-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |