| NPI | 1770349474 |
|---|---|
| Doing Business As | MANITO HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |