Organization
LIVE WELL CPAP AND MEDICAL SUPPLY
Active
Other names
Live Well CPAP and Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSON RPSGT (OWNER)
(208) 269-1870
Entity
Organization
Contact information
Practice address
303 E LOGAN ST, CALDWELL, ID 83605-4863
(208) 269-1870
(208) 269-1870
Mailing address
303 E LOGAN ST, CALDWELL, ID 83605-4863
(208) 269-1870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/19/2023
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