| NPI | 1659381481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL JONES Vice President 208-535-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID DME251) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-04-25 |