| NPI | 1720398258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY AMANDA TEBBS President 253-225-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |