| NPI | 1487251518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH KENNEDY Owner 208-315-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |