| NPI | 1932172806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALAN TIMCO President 360-753-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 601644351) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |