Nationwidebath Com LLC

NPI #1093091555 in Kuna, Idaho

Provider Information

NPI Number: 1093091555
Entity Type: Organization
Organization Name: Nationwidebath Com LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Oct 28, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 647 S STIBNITE AVE
City: Kuna
State: Idaho
ZIP Code: 83634-1992
Phone: (208) 939-1595

Authorized Official

Name: MR. KLAUS E RUTTKE
Title: MANAGING MEMBER/OWNER
Phone: (208) 939-1595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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