# ADDUS HEALTHCARE (IDAHO), INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADDUS HEALTHCARE, INC.
- **Other names:** A Full Life Health Care Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790718781
- **Legal business name:** ADDUS HEALTHCARE, INC.
- **Authorized official:** MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
- **Authorized official phone:** (847) 303-5300

## Contact information

- **Practice address:** 233 E LOCUST AVE, COEUR D ALENE, ID 83814-5748
- **Practice address phone:** (208) 765-8016
- **Practice address fax:** (208) 765-0690
- **Mailing address:** 2401 S PLUM GROVE RD, PALATINE, IL 60067-7486
- **Mailing address phone:** (847) 303-5300
- **Mailing address fax:** (847) 303-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH-229 | ID | Yes |
| 251E00000X | Home Health Agency | HH229 | ID | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 05/26/2010