Organization
DIRECT CONNECT IDAHO LLC
Active
Organization
DIRECT CONNECT IDAHO LLC
Active
Other names
Mobility Mart Plus
Organization subpart
No
Provider details
NPI number
Authorized official
ZECHARIAH BAKER (PRESIDENT)
(208) 314-2631
Entity
Organization
Contact information
Practice address
5584 W OLD RANCH ST, GARDEN CITY, ID 83714-1839
(208) 314-2631
Mailing address
2976 E STATE ST STE 120-1039, EAGLE, ID 83616-6377
(208) 314-2631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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