| NPI | 1790927804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MEEKS Vice President 208-895-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |