| NPI | 1235407420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KENDRICK GRIFFITH Contract Manager 208-631-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332U00000X Home Delivered Meals |
| Additional Taxonomies | 133N00000X Nutritionist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2024-02-16 |