| NPI | 1720312242 |
|---|---|
| Doing Business As | COMMUNITY CARE |
| Entity Type | Organization |
| Authorized Contact | BRITTANY RUSSELL Administrator 208-525-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-819) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |