| NPI | 1851715049 |
|---|---|
| Doing Business As | INTERMOUNTAIN HOMECARE MEDICAL EQUIPMENT & SUPPLY SL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOEL MACEY Executive Director 385-887-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2020-01-07 |