| NPI | 1134131170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLTER DAR KIRKHAM Owner 208-478-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-06-16 |