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Organization

KIND HEART INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA R DAVIS (PRESIDENT)
(208) 523-9119
Entity
Organization

Contact information

Practice address
2896 LIANNE ST, IDAHO FALLS, ID 83402-5638
(208) 523-9119
(855) 529-3924
Mailing address
2896 LIANNE ST, IDAHO FALLS, ID 83402-5638
(208) 523-9119
(855) 529-3924

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190840007
ID
Enumeration date
03/25/2019
Last updated
03/25/2019
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