| NPI | 1033486865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS THOMAS President 208-385-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |