Organization
S HOME HEALTH CARE LLC
Active
Other names
N/A, S Home Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MIKO-MIKYENE MD (DIRECTOR)
(208) 340-0953
Entity
Organization
Contact information
Practice address
617 S 13TH ST APT 413, BOISE, ID 83702-6838
(208) 340-0953
Mailing address
617 S 13TH ST APT 413, BOISE, ID 83702-6838
(208) 340-0953
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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