| NPI | 1225381205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS TAYLOR President 406-251-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |