NPI | 1316232192 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MICHAEL THOME Owner 509-654-9899 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
Enumeration Date | 2011-06-09 |
Last Update Date | 2023-02-07 |