| NPI | 1366522872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-2844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 2) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-06-16 |