| NPI | 1255716700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE B ANTHONY Owner 406-752-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MT 1866) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |