| NPI | 1962961748 |
|---|---|
| Doing Business As | STONEBRIDGE HOME CARE SOUTH |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-03-17 |