Organization
ALL VALLEY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASH EDWARDS (ADMINISTRATOR/PARTNER)
(208) 664-2764
Entity
Organization
Contact information
Practice address
5067 N BUILDING CENTER DR STE A, COEUR D ALENE, ID 83815-7364
(208) 664-2764
Mailing address
5067 N BUILDING CENTER DR STE A, COEUR D ALENE, ID 83815-7364
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807535800
—
ID
Enumeration date
06/12/2012
Last updated
06/12/2012
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