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Organization
ABC HOMECARE INC.
Active
Organization
ABC HOMECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARALEA DIANA FURNISS (PRESIDENT)
(208) 525-6105
Entity
Organization
Contact information
Practice address
841 CHAMBERLAIN AVE, IDAHO FALLS, ID 83402-3931
(208) 525-6105
Mailing address
841 CHAMBERLAIN AVE, IDAHO FALLS, ID 83402-3931
(208) 525-6105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8079920
—
ID
Enumeration date
07/24/2009
Last updated
07/15/2013
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