Organization
ENSURA HEALTH LLC
Active
Other names
Custom Fit
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DONAHUE (MANAGING MEMBER)
(206) 910-6373
Entity
Organization
Contact information
Practice address
1601 N DIVISION ST STE G, SPOKANE, WA 99207-2427
(800) 503-1769
(509) 320-4502
Mailing address
4616 25TH AVE NE # 293, SEATTLE, WA 98105-4183
(800) 503-1769
(509) 320-4502
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/27/2017
Last updated
02/12/2020
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