| NPI | 1871033266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL SUNDBERG CEO 208-746-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID BL17-000004) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2023-03-31 |