| NPI | 1487964904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI SHOGAN Owner 509-953-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602825451) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-26 |