Organization
HOME LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TORI DANIEL SHAVER (OWNER)
(208) 232-9392
Entity
Organization
Contact information
Practice address
436 E BONNEVILLE, POCATELLO, ID 83201
(208) 233-3466
(208) 234-9686
Mailing address
436 E BONNEVILLE, POCATELLO, ID 83201
(208) 233-3466
(208) 234-9686
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1319LS
ID
Other
Enumeration date
09/22/2005
Last updated
02/11/2008
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