| NPI | 1518954528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN E LAVAGNINO Executive Director 208-664-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID 804222100) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |