| NPI | 1194771881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MCCORKLE Office Manager 406-549-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-03-28 |