| NPI | 1437145240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI DANIEL SHAVER Vice President 208-232-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 11537CP) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |