| NPI | 1508048117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN T EISELE Owner 406-234-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2012-05-16 |