Organization
BOISE ID HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HILLMAN (PRESIDENT)
(254) 913-7780
Entity
Organization
Contact information
Practice address
36 E PINE AVE, MERIDIAN, ID 83642-2329
(254) 913-7780
Mailing address
815 LAKE AIR DR, WACO, TX 76710-5756
(254) 913-7780
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
ID
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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