| NPI | 1336147149 |
|---|---|
| Doing Business As | LOST RIVERS HOME CARE |
| Entity Type | Organization |
| Authorized Contact | KIM DAHLMAN CEO 208-527-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID HH-220) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-08-28 |