NPI | 1548423338 |
---|---|
Entity Type | Organization |
Authorized Contact | REECE CHRISTENSEN CEO President 208-497-3575 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1624LS) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2020-11-13 |