| NPI | 1366437329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDKIN LAVICK Owner 253-752-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-08-22 |