| NPI | 1629027057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY CONFORTO President/CEO 206-621-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 6012058040010003) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 6012058040010003) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: WA 6012058040010003) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA 6012058040010003) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-08-21 |