| NPI | 1861693368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODILA EUGENIA CONICA Owner 208-745-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-06-13 |