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Organization
GRAYS RIVER HOMECARE, LLC
Active
Organization
GRAYS RIVER HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HILLMAN (OWNER)
(208) 295-2528
Entity
Organization
Contact information
Practice address
162 N 4032 E, RIGBY, ID 83442-4962
(208) 295-2528
(208) 295-2529
Mailing address
162 N 4032 E, RIGBY, ID 83442-4962
(208) 295-2528
(208) 295-2529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NULL
Other
Enumeration date
02/26/2026
Last updated
04/29/2026
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