| NPI | 1629065883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SCOTT Office Manager 406-237-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 18441) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |