A Full Life Agency

NPI #1346327194 in Hayden, Idaho

Provider Information

NPI Number: 1346327194
Entity Type: Organization
Organization Name: A Full Life Agency
Primary Specialty: Home Health
Enumeration Date: Nov 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9075 N GOVERNMENT WAY
City: Hayden
State: Idaho
ZIP Code: 83835-9217
Phone: (208) 762-9835

Authorized Official

Name: MR. DONALD D GROSS
Title: PRESIDENT
Phone: (208) 762-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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