Icare Supported Living, Inc.

NPI #1083026579 in Middleton, Idaho

Provider Information

NPI Number
1083026579
Entity Type
Organization
Organization Name
Icare Supported Living, Inc.
Primary Specialty
In Home Supportive Care
Enumeration Date
Jun 2, 2014
Last Updated
Jun 2, 2014

Practice Location

Address
1903 N WINDSOR PARK AVE
State
Idaho
ZIP Code
83644-5584
Phone
(208) 695-3505

Authorized Official

Name
MRS. CARI RENEE GILBERT, B.S.W.
Title
OWNER/ ADMINISTRATOR/ QIDP
Phone
(208) 695-3505

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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