| NPI | 1447580428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD R PRICE Owner 208-521-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 003513710-S) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |