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Organization
LOST RIVERS DISTRICT HOSPITAL
Active
Organization
LOST RIVERS DISTRICT HOSPITAL
Active
Other names
LOST RIVERS HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM DAHLMAN (CEO)
(208) 527-8206
Entity
Organization
Contact information
Practice address
551 HIGHLAND DR, ARCO, ID 83213-9771
(208) 527-8206
(208) 527-3430
Mailing address
PO BOX 145, ARCO, ID 83213-0145
(208) 527-8206
(208) 527-3430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-220
ID
Other
Enumeration date
07/14/2005
Last updated
08/28/2007
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