| NPI | 1528226982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S TAYLOR President 208-589-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |