Organization
LOST RIVERS DISTRICT HOSPITAL
Active
Other names
LOST RIVERS HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM DAHLMAN (CEO)
(208) 527-8206
Entity
Organization
Contact information
Practice address
551 HIGHLAND DR, ARCO, ID 83213-9771
(208) 527-8206
(208) 527-3430
Mailing address
PO BOX 145, ARCO, ID 83213-0145
(208) 527-8206
(208) 527-3430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-220
ID
Other
Enumeration date
07/14/2005
Last updated
08/28/2007
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