| NPI | 1124029962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE K. MADDOCK President/Owner 406-252-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-08-14 |