| NPI | 1811002991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLBY E SMITH President 208-303-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-10-06 |