OrganizationActive
Full of Life 5580
NPI 1447580428 · Durable Medical Equipment & Medical Supplies · Idaho Falls, ID
Provider details
- NPI number
- 1447580428
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Willard Price, Owner(208) 521-0155
- License
- 003513710-S (ID)
Specialties & taxonomies
Suppliers
Practice location
697 E 1600 N
Idaho Falls, ID 83402-5752
Phone: (208) 521-0155
Fax: (208) 357-7516
Approximate (ZIP-level) locationGet directions
Mailing address
697 E 1600 N
Idaho Falls, ID 83402-5752
Registry dates
- Enumerated
- 2010-01-13
- Last updated
- 2010-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.