| NPI | 1477608024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER CASH EDWARDS Adminstrator 208-664-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID 807535800) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |