| NPI | 1790882496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE TAYLOR Owner 360-253-4367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA CF00058058) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: WA CF00058058) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2023-11-16 |