Homedale Healthcare, Inc.

NPI #1225390131 in Homedale, Idaho

Provider Information

NPI Number
1225390131
Entity Type
Organization
Organization Name
Homedale Healthcare, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 15, 2012
Last Updated
Jun 21, 2023

Practice Location

Address
108 W OWYHEE AVE
State
Idaho
ZIP Code
83628-3206
Phone
(208) 337-3168

Authorized Official

Name
SOON BURNAM
Title
TREASURER
Phone
(949) 540-1249

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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