| NPI | 1851399158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON M HESS President 208-882-9746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: ID DME127) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2012-03-27 |