| NPI | 1730394651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M TRACY Owner 406-752-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 178) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-09-27 |