| NPI | 1336999531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARIE MCCORD Owner 208-287-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |