| NPI | 1346629029 |
|---|---|
| Other Name | PARTNERSHIP |
| Entity Type | Organization |
| Authorized Contact | WAYNE C JOHNSON Senior Partnor 208-762-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID NOT REQUIRED) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-11-12 |