| NPI | 1962658708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSI ERIN ECKLEY President 208-463-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID 808110900) |
| Additional Taxonomies | 251E00000X Home Health (Licence: ID 808110901) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-27 |