| NPI | 1235231002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GENE PFEIL President/CEO 208-895-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 002949576) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |