# HOME HALO OF IDAHO, LLC

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

## Provider details

- **NPI number:** 1306733704
- **Authorized official:** DANIEL DEAK (OWNER)
- **Authorized official phone:** (986) 999-4666

## Contact information

- **Practice address:** 784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-9599
- **Practice address phone:** (986) 999-4666
- **Mailing address:** 8400 E PRENTICE AVE PH 1500, GREENWOOD VILLAGE, CO 80111-2927
- **Mailing address phone:** (986) 999-4666

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2025
- **Last updated:** 06/19/2025
