| NPI | 1114296498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MCMAKIN Cheif Operations Officer 360-693-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |