Organization
KAREN E FISHER ENT
Active
Other names
Wood River Home Health Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN E FISHER RPH (OWNER)
(208) 788-4970
Entity
Organization
Contact information
Practice address
21 E MAPLE ST, SUITE B, HAILEY, ID 83333-8401
(208) 788-4970
(208) 788-1099
Mailing address
21 E MAPLE ST, SUITE B, HAILEY, ID 83333-8401
(208) 788-4970
(208) 788-1099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002621300
—
ID
Enumeration date
11/01/2006
Last updated
06/03/2008
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