| NPI | 1649562620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EUGENE MELTON Owner 509-457-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA farwecc991bb) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |