Organization
SUNRISE HOME HEALTH OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE RAUMA M.S. CCC-SLP (MANAGER)
(208) 918-0080
Entity
Organization
Contact information
Practice address
1254 E PUFFIN ST, MERIDIAN, ID 83642-7453
(208) 918-0080
Mailing address
1254 E PUFFIN ST, MERIDIAN, ID 83642-7453
(480) 247-0622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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