| NPI | 1265096150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINSON B. LATIMORE President/CEO 360-312-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-02-13 |