Qualicare Inc.

NPI #1629252994 in Ammon, Idaho

Provider Information

NPI Number: 1629252994
Entity Type: Organization
Organization Name: Qualicare Inc.
Primary Specialty: Nursing Care
Enumeration Date: Dec 21, 2007
Last Updated: Feb 14, 2008

Practice Location

Address: 3539 BRIAR CREEK LN
Address 2: SUITE A
City: Ammon
State: Idaho
ZIP Code: 83406-4761
Phone: (208) 542-1388

Authorized Official

Name: BART O LARSEN, LSW
Title: OWNER/MANAGER
Phone: (208) 542-1388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X	Primary

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