| NPI | 1083155329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHADID Administrator 206-316-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-04-12 |