| NPI | 1679389340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIAM TALIB Administrator 208-761-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-10 |