| NPI | 1295894632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J LOUMEAU President 253-307-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ID 00069542-S) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-03-20 |