| NPI | 1730165143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN FARK Assistant Manager 406-252-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-08-22 |