Organization
ASC IDAHO LLC.
Active
Other names
Amada Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BRIAN LISKER (SENIOR VICE PRESIDENT)
(949) 403-8451
Entity
Organization
Contact information
Practice address
1120 S RACKHAM WAY STE 300, MERIDIAN, ID 83642-1092
(208) 593-2093
Mailing address
1120 S RACKHAM WAY STE 300, MERIDIAN, ID 83642-1092
(208) 593-2093
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
01/15/2025
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