| NPI | 1730142209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON L SCHERR Owner/Presidnet 208-523-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID M7579) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID M7579) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2009-07-13 |