State of Idaho
NPI #1649277393 in Pocatello, Idaho
Provider Information
- NPI Number
- 1649277393
- Entity Type
- Organization
- Organization Name
- State of Idaho
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. EDWARD A. MARUGG, R.E.H.S
- Title
- DIRECTOR
- Phone
- (208) 233-9080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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