NPI age
15 years
Enumerated 2010-12-28
Across 259 active home health providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | HH160 | STATE LICENSURE |
| 01 (ID) | 13D0947553 | CLIA WAIVER |
Single-site organization. Only one practice location on file.
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