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Organization
PROV16, LLC
Active
Organization
PROV16, LLC
Active
Other names
A Better Solution In Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH HERRERA (DIRECTOR OF CONTRACT PROCUREMENT)
(714) 588-7873
Entity
Organization
Contact information
Practice address
1111 S ORCHARD ST STE 206, BOISE, ID 83705-1922
(208) 285-2353
Mailing address
1111 S ORCHARD ST STE 206, BOISE, ID 83705-1922
(208) 285-2353
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/16/2021
Last updated
10/01/2022
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