Organization
KIDSCARE HOME HEALTH OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KASKAVAGE (DIRECTOR OF COMPLIANCE)
(214) 575-2999
Entity
Organization
Contact information
Practice address
1835 WILDWOOD STREET, BOISE, ID 83713
(866) 919-3240
(877) 300-7394
Mailing address
4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3631
(214) 575-2999
(214) 575-2727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
12/10/2024
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