| NPI | 1538567953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAEL KAUTSKY President 360-943-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA DE 00007768) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |