| NPI | 1841400785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COLLETTE Member 208-529-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME289) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |