| NPI | 1518473404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN THOMASON Mamager 208-816-3842 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172A00000X Driver |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |