Organization
ADDUS HEALTHCARE (IDAHO), INC
Active
Organization
ADDUS HEALTHCARE (IDAHO), INC
Active
Other names
Addus HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(630) 296-3400
Entity
Organization
Contact information
Practice address
1037A 21ST ST, LEWISTON, ID 83501-3415
(208) 746-8881
(855) 808-6973
Mailing address
2300 WARRENVILLE RD, SUITE 100, DOWNERS GROVE, IL 60515-1765
(630) 296-3400
(630) 487-2713
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
807562000
LEWISTON - DDA
ID
Enumeration date
05/01/2007
Last updated
06/17/2015
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