| NPI | 1578524575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRA OLSON Owner 208-847-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: ID DME126) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-08-22 |