| NPI | 1821546946 |
|---|---|
| Doing Business As | LAKEWOOD MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | DONALD ALLAN DENMAN Manager/Owner 253-905-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2017-01-30 |