NPI | 1851994164 |
---|---|
Doing Business As | WESTLAKE DME |
Entity Type | Organization |
Authorized Contact | ANTWAN LAPREE BURKS Owner 219-210-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 224L00000X Pedorthist |
Enumeration Date | 2020-11-18 |
Last Update Date | 2023-02-23 |