| NPI | 1316274202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HOLMES Owner 509-935-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2012-05-15 |