| NPI | 1356467443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. HICKS Owner 509-467-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 600-609-453) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |