| NPI | 1992229942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA J MCAVOY Executive Administrator Bookkeeper 208-518-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-08-07 |