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Organization

HOME LIVING SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TORI DANIEL SHAVER (OWNER)
(208) 232-9392
Entity
Organization

Contact information

Practice address
106 S COLE RD, BOISE, ID 83709-0932
(208) 376-6810
(208) 376-6899
Mailing address
PO BOX 4869, POCATELLO, ID 83205-4869
(208) 376-6810
(208) 376-6899

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1847LS
ID

Other

Enumeration date
09/22/2005
Last updated
11/14/2007
About Stedi
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