| NPI | 1164971164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FITCH CEO 425-351-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NV NV20151115320) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2016-10-02 |