| NPI | 1265936579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI L LAYTON Administrator 360-460-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-11-08 |