| NPI | 1730694464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SMITH Executive Director 208-880-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID 173260002) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |