| NPI | 1164400735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE S. BROCK President 406-494-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 0411340001) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-08-22 |