| NPI | 1043337256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GREENE CEO 208-762-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 002782641-S) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |