| 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 |