| NPI | 1699943332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J BEASLEY Manager 208-463-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID w53339) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-08-19 |