| NPI | 1659861227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LOUISE BERRY Executive Director 208-466-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID 1740674621) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |