| NPI | 1497371264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT R NEELY Administrator/Owner 208-625-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 310400000X Assisted Living Facility | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician Attendant Care Provider | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |