| NPI | 1225273063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY REBECCA WEIKEL President 208-695-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |