STATE OF IDAHO

POCATELLO, ID
NPI1649277393
Entity TypeOrganization
Authorized ContactEDWARD A. MARUGG
Director
208-233-9080
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: ID  13-7001)
Enumeration Date2005-07-07
Last Update Date2020-08-22
Business Address
STATE OF IDAHO
1901 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-239-5210
Mailing Address
STATE OF IDAHO
1901 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-239-5210
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