Organization
BATH PLUS INC
Active
Other names
Northwest Medical Repair
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS O. SARY (GENERAL MANAGER)
(425) 941-2258
Entity
Organization
Contact information
Practice address
2719 PACIFIC AVE, EVERETT, WA 98201-4527
(425) 941-2258
Mailing address
1427 130TH AVE NE, BELLEVUE, WA 98005-2221
(425) 941-2258
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
BATHPPI908Q4
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951667
—
WA
Enumeration date
05/22/2014
Last updated
05/22/2014
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