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Organization
ICARE SUPPORTED LIVING, INC.
Active
Organization
ICARE SUPPORTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARI RENEE GILBERT B.S.W. (OWNER/ ADMINISTRATOR/ QIDP)
(208) 695-3505
Entity
Organization
Contact information
Practice address
1903 N WINDSOR PARK AVE, MIDDLETON, ID 83644-5584
(208) 695-3505
(208) 955-4130
Mailing address
1903 N WINDSOR PARK AVE, MIDDLETON, ID 83644-5584
(208) 695-3505
(208) 955-4130
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RHA-5220
ID
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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