| NPI | 1841461670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE M HAWK Owner 360-474-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA 602785600) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2019-05-29 |