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1336135318
COUNTRYSIDE HOME CARE, INC
SALMON, ID
NPI
1336135318
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Entity Type
Organization
Authorized Contact
JOHN GROVER
Owner/Administrator
208-756-4032
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2005-09-23
Last Update Date
2020-08-22
Business Address
COUNTRYSIDE HOME CARE, INC
1213 MAIN ST
SALMON, ID 83467-4324
Phone number: 208-756-4032
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Mailing Address
COUNTRYSIDE HOME CARE, INC
1213 MAIN ST
SALMON, ID 83467-4324
Phone number: 208-756-4032
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