Organization
IDAHO IN-HOME HEALTH & SOCIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARTH R OAKEY (MANAGER/OWNER)
(775) 253-5609
Entity
Organization
Contact information
Practice address
37 W SUNSET CIR, REXBURG, ID 83440-9685
(775) 253-5609
Mailing address
37 W SUNSET CIR, REXBURG, ID 83440-9685
(775) 253-5609
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130290008
—
ID
Enumeration date
02/20/2013
Last updated
02/20/2013
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