| NPI | 1700166014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK GIFFORD WATKINS Owner Manager 208-413-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID N-30580) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |