| NPI | 1730558255 |
|---|---|
| Doing Business As | SOUTHEAST IDAHO SLEEP DME |
| Entity Type | Organization |
| Authorized Contact | TABITHA COLE Office Manager 208-715-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2023-09-13 |