Organization
IDAHO IN HOME CARE
Active
Other names
Idaho In Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
PETE BLUE (PRESIDENT)
(208) 881-4821
Entity
Organization
Contact information
Practice address
3801 ORCHARD CIR, AMMON, ID 83406-4656
(208) 557-1152
Mailing address
3456 E 17TH ST STE 285, AMMON, ID 83406-5069
(541) 941-1543
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/01/2023
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