| NPI | 1952698201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA W JESSOP Owner 406-370-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-02-14 |