| NPI | 1528675451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LINDSLEY CEO 360-787-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-08-16 |