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Organization
LEGACY RHS, LLC
Active
Organization
LEGACY RHS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELITA MARTINEZ BA, QIDP (ADMINISTRATOR/OWNER)
(208) 369-6467
Entity
Organization
Contact information
Practice address
16663 WOODDUCK ST, NAMPA, ID 83687-8296
(208) 369-6467
Mailing address
16663 WOODDUCK ST, NAMPA, ID 83687-8296
(208) 369-6467
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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