| NPI | 1982135547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MATTHEW HALLER Owner 406-422-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT C279507) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MT C279507) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MT C279507) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |