| NPI | 1508533209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY WHITWORTH Owner 208-589-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |