Organization
KIDSCARE HOME HEALTH OF IDAHO, LLC
Active
Other names
KidsCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KASKAVAGE (DIRECTOR OF COMPLIANCE)
(866) 919-3240
Entity
Organization
Contact information
Practice address
1835 N WILDWOOD ST, BOISE, ID 83713-5146
(877) 200-8152
Mailing address
4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3631
(866) 919-3240
(877) 300-7394
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
12/10/2024
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