| NPI | 1356509681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LINDSLEY President 360-887-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WA 601756021) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |