Breakaway, Inc
Breakaway, Inc is a Customized Equipment (DME) in Garden City, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
106 E 39th StGarden City, ID 83714-6440
Phone: (208) 342-4506
Fax: (208) 342-4507
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 047307 (ID) |
|---|
Record details
| NPI number | 1700055209 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Elliott — Vice-President · (208) 342-4506 |
| NPI enumerated | February 28, 2008 |
| Last updated in NPPES | November 30, 2011 |
| Mailing address | Po Box 1593, Boise, ID 83701-1593 |