Prairie Enterprises LLC

NPI #1215231311 in Meridian, Idaho

Provider Information

NPI Number
1215231311
Entity Type
Organization
Organization Name
Prairie Enterprises LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 4, 2011
Last Updated
Jan 4, 2011

Practice Location

Address
3332 N BOULDER CREEK AVE
State
Idaho
ZIP Code
83646-5553
Phone
(800) 998-6359

Authorized Official

Name
VANESSA PRAIRIE
Title
DIRECTOR
Phone
(800) 998-6359

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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