| NPI | 1760041263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLEEN MICHELLIE TIETZ Owner/ Managing Member 208-596-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 305S00000X Point of Service | |
| 347C00000X Private Vehicle | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2019-06-08 |