Organization
QUALITY HOME CARE STAFFING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KITA D MARAVILLA (OWNER)
(208) 235-4677
Entity
Organization
Contact information
Practice address
258 MCKINLEY, POCATELLO, ID 83201
(208) 235-4677
(208) 235-3736
Mailing address
258 MCKINLEY, POCATELLO, ID 83201
(208) 235-4677
(208) 235-3736
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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