| NPI | 1396039400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON R SPENCER Owner 208-867-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID d-3319) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |