Organization
LV RUSSELL HOME CARE LLC
Active
Other names
ComforCare Home Care Idaho West
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISSA RENEE VALLEJO RUSSELL (OWNER/ DIRECTOR OF OPERATIONS)
(208) 714-7024
Entity
Organization
Contact information
Practice address
2187 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 714-7024
Mailing address
2187 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 714-7024
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/28/2025
Last updated
08/19/2025
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