OrganizationActive
Great Western Distribution of Idaho, LLC
NPI 1497022420 · Durable Medical Equipment & Medical Supplies · Meridian, ID
Provider details
- NPI number
- 1497022420
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Sherman Leibow, Owner(208) 342-4800
Specialties & taxonomies
Suppliers
Practice location
480 E Franklin Rd
Suite 108
Meridian, ID 83642-2919
Phone: (208) 888-7561
Fax: (208) 287-3695
Approximate (ZIP-level) locationGet directions
Mailing address
480 E Franklin Rd
Meridian, ID 83642-2919
Other names (DBA / former)
- Doing business as
- Custom Home Solutions
Registry dates
- Enumerated
- 2011-11-18
- Last updated
- 2011-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.