| NPI | 1902202708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE KOVICK President 208-985-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID CFm02746) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |