Idahoinhomecare., LLC

NPI #1073864815 in Meridian, Idaho

Provider Information

NPI Number: 1073864815
Entity Type: Organization
Organization Name: Idahoinhomecare., LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Sep 19, 2012
Last Updated: Sep 19, 2012

Practice Location

Address: 845 E FAIRVIEW AVE
Address 2: SUITE 100
City: Meridian
State: Idaho
ZIP Code: 83642-8048
Phone: (208) 288-2200

Authorized Official

Name: MR. FRANCO GELSOMINO
Title: OWNER
Phone: (208) 288-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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