Idaho Consumer Direct Personal Care, LLC

NPI #1083884597 in Meridian, Idaho

Provider Information

NPI Number
1083884597
Entity Type
Organization
Organization Name
Idaho Consumer Direct Personal Care, LLC
Primary Specialty
Home Health
Enumeration Date
Mar 11, 2008
Last Updated
Dec 26, 2017

Practice Location

Address
280 E CORPORATE DR STE 150
State
Idaho
ZIP Code
83642-2952
Phone
(208) 898-0470

Authorized Official

Name
MR. BEN BLEDSOE
Title
PRESIDENT/CEO
Phone
(406) 532-2001

Specialties & Taxonomy Codes

Specialty
Home Health

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