| NPI | 1750815510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WALKER President 208-241-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications |
| Additional Taxonomies | 171W00000X Contractor |
| 171WV0202X Contractor Vehicle Modifications | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |