Organization
PRAIRIE ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA PRAIRIE (DIRECTOR)
(800) 998-6359
Entity
Organization
Contact information
Practice address
3332 N BOULDER CREEK AVE, MERIDIAN, ID 83646-5553
(800) 998-6359
(800) 886-3594
Mailing address
3332 N BOULDER CREEK AVE, MERIDIAN, ID 83646-5553
(800) 998-6359
(800) 886-3594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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