NPI | 1730625302 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK DENZIL JORGENSEN President 360-892-6555 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-20 |