| NPI | 1669471082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA R BACON-PAVLOVIC Com PT Roller 208-733-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID HH-211) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-11-05 |