| NPI | 1598294779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA NORTHRUP Administrator 360-330-1874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2019-03-20 |