| NPI | 1841568953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERETHA MARBURY CEO 253-468-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 602187014) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: WA 602187014) |
| 251X00000X (Licence: WA 602187014) | |
| 302R00000X Health Maintenance Organization (Licence: WA 602187014) | |
| 347E00000X Transportation Broker (Licence: WA 602187014) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |