| NPI | 1669770970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLENDISA JENNINGS Owner 509-768-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-12-15 |