Organization
HIS LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALAE MORGAN (OFFICE ADMINISTRATOR)
(757) 374-2404
Entity
Organization
Contact information
Practice address
6630 CROSS VIEW LN, MARSING, ID 83639-8102
(757) 374-2404
Mailing address
6630 CROSS VIEW LN, MARSING, ID 83639-8102
(757) 374-2404
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0004256
—
ID
Enumeration date
05/12/2022
Last updated
05/12/2022
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