CLARK FORK HEALTHCARE, LLC

EAGLE, ID
NPI1457092058
Entity TypeOrganization
Authorized ContactLEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2022-04-06
Last Update Date2022-04-06
Business Address
CLARK FORK HEALTHCARE, LLC
1675 E RIVERSIDE DR STE 200
EAGLE, ID 83616-7473
Phone number: 208-401-1400
Mailing Address
CLARK FORK HEALTHCARE, LLC
1675 E RIVERSIDE DR STE 200
EAGLE, ID 83616-7473
Phone number: 208-401-1400