# IDAHO IN HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Idaho In Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528707742
- **Authorized official:** PETE BLUE (PRESIDENT)
- **Authorized official phone:** (208) 881-4821

## Contact information

- **Practice address:** 3801 ORCHARD CIR, AMMON, ID 83406-4656
- **Practice address phone:** (208) 557-1152
- **Mailing address:** 3456 E 17TH ST STE 285, AMMON, ID 83406-5069
- **Mailing address phone:** (541) 941-1543

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2022
- **Last updated:** 06/01/2023