Organization
GSDED IDAHO LLC
Active
Other names
Interim HealthCare of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAWKINS (OWNER)
(801) 401-3515
Entity
Organization
Contact information
Practice address
1010 S ALLANTE PL STE 102, BOISE, ID 83709-1660
(208) 938-9681
Mailing address
1010 S ALLANTE PL STE 102, BOISE, ID 83709-1660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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