| NPI | 1861146532 |
|---|---|
| Former Legal Business Name | HOME CARE ASSISTANCE OF IDAHO LLC |
| Entity Type | Organization |
| Authorized Contact | SEAN MICHELE CYGAN Compliance Associate 858-287-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-09-08 |