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Community Living of Idaho LLC

NPI #1508650060 in Caldwell, Idaho

Provider Information

NPI Number
1508650060
Entity Type
Organization
Organization Name
Community Living of Idaho LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Apr 8, 2025
Last Updated
Apr 8, 2025

Practice Location

Address
3424 STARLIGHT AVE
City
Caldwell
State
Idaho
ZIP Code
83605-6647
Phone
(208) 906-4249

Authorized Official

Name
PAUL DANIEL FAUTH
Title
OWNER
Phone
(208) 906-4249

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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