| NPI | 1164671863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY K JENSEN CEO 253-939-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 7017897-1714) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2009-05-22 |