NPI | 1578169298 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY WILLIAMS Manager, Provider Data & Enrollment 253-459-8009 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-12-08 |
Last Update Date | 2022-03-23 |