Breakaway, INC
NPI #1700055209 in Garden City, Idaho
Provider Information
- NPI Number
- 1700055209
- Entity Type
- Organization
- Organization Name
- Breakaway, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Feb 28, 2008
- Last Updated
- Nov 30, 2011
Practice Location
- Address
- 106 E 39TH ST
- City
- Garden City
- State
- Idaho
- ZIP Code
- 83714-6440
- Phone
- (208) 342-4506
Authorized Official
- Name
- MRS. CAROL C ELLIOTT
- Title
- VICE-PRESIDENT
- Phone
- (208) 342-4506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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