Organization
IMAGINE THAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROMY M. SCHEEL BBA (OWNER)
(208) 255-9318
Entity
Organization
Contact information
Practice address
1254 BAYVIEW RD, ATHOL, ID 83801-9659
(208) 255-9318
Mailing address
1254 BAYVIEW RD, ATHOL, ID 83801-9659
(208) 255-9318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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