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Organization
PRAIRIE HOME CARE LLC
Active
Organization
PRAIRIE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K WEISS (OWNER)
(208) 790-0700
Entity
Organization
Contact information
Practice address
514 THAIN RD, LEWISTON, ID 83501-5531
(208) 790-0700
Mailing address
514 THAIN RD, LEWISTON, ID 83501-5531
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ID
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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