NPI | 1174192033 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER HUGHES Owner 509-491-3266 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-04-27 |