| NPI | 1114113552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JACK BERG Owner 509-483-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 835) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-05-01 |