Organization
CHRISTY MARVIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY EARLEAN MARVIN CNA (HOME HEALTH AID)
(208) 550-2638
Entity
Organization
Contact information
Practice address
1111 E MAIN ST, WEISER, ID 83672-2437
(208) 549-2076
Mailing address
1111 E MAIN ST, WEISER, ID 83672-2437
(208) 549-2076
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
ID OOO16921203
ID
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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