| NPI | 1417091752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA C GREEN Owner 509-324-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 601136565) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |