| NPI | 1235137761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ROSS SPIERS Administrator 208-732-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID HH-227) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-03-20 |