| NPI | 1710054499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDELLA O MYHRE Owner 360-423-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA B600525820) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |