Organization · Type 2 NPI
Wilderness Shores Supplies, LLC
Parenteral & Enteral Nutrition Supplies (DME) · Maple Valley, WA
NPI number
1144545054
Active
Practice location
25614 Lake Wilderness Ln SE
Maple Valley, WA 98038-6019
Fax (425) 413-5116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | None listed |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | None listed |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
Another provider at this address
About NPI 1144545054
Wilderness Shores Supplies, LLC's National Provider Identifier is 1144545054, issued on Apr 2, 2010. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Maple Valley, WA. The record was last updated on Apr 2, 2010.