| NPI | 1174035950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LACHELLE PEREIRA Owner/ Wellness Director 208-308-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |