Imagine That, LLC

NPI #1780916262 in Athol, Idaho

Provider Information

NPI Number
1780916262
Entity Type
Organization
Organization Name
Imagine That, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 8, 2010
Last Updated
Feb 8, 2010

Practice Location

Address
1254 BAYVIEW RD
City
Athol
State
Idaho
ZIP Code
83801-9659
Phone
(208) 255-9318

Authorized Official

Name
MR. JEROMY M. SCHEEL, BBA
Title
OWNER
Phone
(208) 255-9318

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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