| NPI | 1073919643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L HEALY Owner 208-440-8967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |