| NPI | 1063469187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W AIMAN Owner 208-356-7913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID DME224) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-04-01 |