NPI | 1518066414 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA MARIE MCCORD President 208-287-1733 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME233) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2023-03-13 |