| NPI | 1982087417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANA MICHELE HALL Manager Of Compliance 206-569-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2023-03-22 |