Organization
NORTHWEST RECUMBENT CYCLES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LOU DAGASTINE (PRESIDENT)
(208) 818-5491
Entity
Organization
Contact information
Practice address
1642 E 16TH AVE, POST FALLS, ID 83854-9080
(208) 818-5491
(208) 773-9372
Mailing address
1642 E 16TH AVE, POST FALLS, ID 83854-9080
(208) 818-5491
(208) 773-9372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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