| NPI | 1083026579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARI RENEE GILBERT Owner/ Administrator/ Qidp 208-695-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: ID RHA-5220) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |