| NPI | 1083362404 |
|---|---|
| Doing Business As | PASCO/SW HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | AMBER L TUELLER Secretary 208-207-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-08-07 |