Organization
ON SITE FOR SENIORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MELCHIORE M.D. (RENDERING PHYSICIAN)
(208) 967-4771
Entity
Organization
Contact information
Practice address
296 W SUNSET AVE STE 14, COEUR D ALENE, ID 83815-8367
(208) 967-4771
Mailing address
PO BOX 238, HAYDEN, ID 83835-0238
(208) 967-4771
(208) 683-8101
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG7201
MEDICARE RAILROAD CARRIER
ID
Enumeration date
10/18/2007
Last updated
01/07/2025
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