Organization
NORTHSTAR IN HOME SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOREY LYNN SOLOMON LSW (OWNER)
(208) 420-4663
Entity
Organization
Contact information
Practice address
3323 EAST B 3600 NORTH, KIMBERLY, ID 83341
(208) 420-4663
Mailing address
3323 EAST B 3600 NORTH, KIMBERLY, ID 83341
(208) 420-4663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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