| NPI | 1508958885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A KJER Managing Member 360-753-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-10-22 |