| NPI | 1952409906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. CLARK President 406-452-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT Does Not Apply in MT) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |