Organization
HOME LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL TORI SHAVER (OWNER)
(208) 235-7243
Entity
Organization
Contact information
Practice address
106 S COLE RD, BOISE, ID 83709-0932
(208) 376-6810
(208) 376-6899
Mailing address
436 E BONNEVILLE ST, POCATELLO, ID 83201-6406
(208) 235-7250
(208) 235-7296
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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