Organization
INDEPENDENCE CARE OF IDAHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK TROIANO (DIRECTOR OF GOVERNMENT AFFAIRS)
(603) 520-1603
Entity
Organization
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(603) 520-1603
(412) 312-3828
Mailing address
1016 COLLIER CENTER WAY STE 206, NAPLES, FL 34110-8473
(603) 520-1603
(412) 312-3828
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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