A Full Life Home Health Lewiston INC

NPI #1861533176 in Lewiston, Idaho

Provider Information

NPI Number
1861533176
Entity Type
Organization
Organization Name
A Full Life Home Health Lewiston INC
Primary Specialty
Home Health
Enumeration Date
Feb 9, 2007
Last Updated
Sep 17, 2007

Practice Location

Address
102 11TH ST
State
Idaho
ZIP Code
83501-1936
Phone
(208) 746-8881

Authorized Official

Name
MRS. HOPE BRACKETT
Title
ADMINISTRATOR
Phone
(208) 746-8881

Specialties & Taxonomy Codes

Specialty
Home Health

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