| NPI | 1053686485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON R SPENCER Owner 208-376-3600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2015-08-19 |