| NPI | 1497817159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI D ANDERSON Manager 406-586-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 06-00055785) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-03-18 |