| NPI | 1790862563 |
|---|---|
| Doing Business As | A FULL LIFE AGENCY |
| Entity Type | Organization |
| Authorized Contact | DONALD D GROSS President 208-762-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |