| NPI | 1659650869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A PIERCE General Manager 208-376-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |