| NPI | 1023287828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PERRY Administrator 208-236-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |