| NPI | 1366517450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY HALL Owner/President 208-785-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME200) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-12-07 |