| NPI | 1851452049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M AUER Secretary 208-743-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID DME124) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-04-29 |