| 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 |