| NPI | 1124194964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G LIND President 360-331-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 601604070) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2012-11-20 |