| NPI | 1891967659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MILICH Rece PT Ionist 208-463-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ID 3315) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |