| NPI | 1053719633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT HASTINGS Manager 509-252-3373 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2025-04-23 |