Individual
MICHAEL S DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8317 N AINSWORTH DR, HAYDEN, ID 83835-9402
(208) 819-4967
Mailing address
8317 N AINSWORTH DR, HAYDEN, ID 83835-9402
(208) 819-4967
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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