| NPI | 1760206882 |
|---|---|
| Former Legal Business Name | GLADYANNA'S |
| Entity Type | Organization |
| Authorized Contact | NATOSHA BEACH Owner/Operator 208-290-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |