| NPI | 1508996885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN J. HANSEN Bookkeeper 208-232-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |