# TREASURE VALLEY HOME CARE SERVICES L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114546223
- **Authorized official:** PREM HANG SUBBA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (208) 713-9510

## Contact information

- **Practice address:** 13334 W PERSIMMON ST, BOISE, ID 83713-0860
- **Practice address phone:** (208) 713-9510
- **Mailing address:** 4700 N CLOVERDALE RD STE 202, BOISE, ID 83713-1068
- **Mailing address fax:** (208) 963-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2020
- **Last updated:** 10/23/2020