| NPI | 1235571746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BAILEY President 208-377-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME20447) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-06-11 |