| NPI | 1831644608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BARKER President 208-734-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID NP1452A) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |