| NPI | 1891964888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN D CRESAP President 509-663-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA PS00000162) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA OI00000163) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |