| NPI | 1487256004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESHIA MAE THUESON Owner 208-283-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |