Organization
IN HOME CARE FOR YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEEN MICHELLIE TIETZ (OWNER/ MANAGING MEMBER)
(208) 596-7272
Entity
Organization
Contact information
Practice address
609 MAIN STREET, DEARY, ID 83823
(208) 596-7272
Mailing address
PO BOX 92, DEARY, ID 83823
(883) 509-4663
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
305S00000X
Point of Service
—
—
347C00000X
Private Vehicle
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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