Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILDERNESS SHORES SUPPLIES, LLC
Active OrganizationWILDERNESS SHORES SUPPLIES, LLC is a Parenteral & Enteral Nutrition (DME) organization located in MAPLE VALLEY, Washington. NPI 1144545054 is currently active in the NPPES registry. Verify at CMS.
Parenteral & Enteral Nutrition (DME) · MAPLE VALLEY, WA
Registration Details
- NPI Number
- 1144545054
- Provider Type
- Organization
- NPI Issued
- Apr 2, 2010 (16.402746815062 yrs)
- Last Updated
- Apr 2, 2010
Practice Information
- Address
-
25614 LAKE WILDERNESS LN SEMAPLE VALLEY, WA, 980386019Browse WA providers · Browse ZIP 98038
- Phone
- 2069315284
- Fax
- 4254135116
- Primary Specialty
-
Parenteral & Enteral Nutrition (DME)
332BP3500X
- Additional Specialty
- Parenteral & Enteral Nutrition (DME)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.