Organization
ADDUS HEALTHCARE (IDAHO), INC.
Active
Parent organization
ADDUS HEALTHCARE, INC.
Other names
A Full Life Health Care Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDUS HEALTHCARE, INC.
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(847) 303-5300
Entity
Organization
Contact information
Practice address
233 E LOCUST AVE, COEUR D ALENE, ID 83814-5748
(208) 765-8016
(208) 765-0690
Mailing address
2401 S PLUM GROVE RD, PALATINE, IL 60067-7486
(847) 303-5300
(847) 303-5435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-229
ID
251E00000X
Home Health Agency
HH229
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807484500
—
ID
Enumeration date
07/10/2006
Last updated
05/26/2010
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