# CANYON COUNTY HOME CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912380957
- **Authorized official:** JEFFREY STOKER (PRESIDENT)
- **Authorized official phone:** (208) 546-1050

## Contact information

- **Practice address:** 1029 WHITE HORSE RIDGE DR, MIDDLETON, ID 83644-4732
- **Practice address phone:** (208) 546-1050
- **Mailing address:** 1029 WHITE HORSE RIDGE DR, MIDDLETON, ID 83644-4732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 07/08/2015