| NPI | 1629493358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN HARALSON Board President 360-607-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |