| NPI | 1942992714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN MICHELSEN COO 208-631-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-10-23 |