| NPI | 1376743344 |
|---|---|
| Other Name | NICKS SERVICE |
| Entity Type | Organization |
| Authorized Contact | ROCKY NICHOLS Manager 208-523-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-07-02 |