| NPI | 1205249943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGLA MACE Office Manager 208-734-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: ID D-4353-PR) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |