| NPI | 1275713158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J BEASLEY Manager 208-463-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-08-19 |