| NPI | 1447687520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANORDEN Manager 208-242-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME22523) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |