| NPI | 1912401613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS COLLETTE VP Of Business Development 208-360-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: 2018-HHA-UT000840) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |