| NPI | 1386802817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRETT SCOTT LECLAIRE Manager 360-907-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2008-05-31 |