| NPI | 1518118215 |
|---|---|
| Other Name | FOREVER ACTIVE |
| Entity Type | Organization |
| Authorized Contact | MELVIN LEE HUSCHKA President 406-252-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |