NPI | 1477831212 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE PIERCE General Manager 208-376-3600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ID d-3319) |
Enumeration Date | 2011-07-27 |
Last Update Date | 2011-07-27 |