| NPI | 1215977384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W AIMAN Owner 208-356-7913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME 225) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-04-01 |