Organization
MULTICARE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L. WALLIS (VICE-PRESIDENT)
(208) 884-5497
Entity
Organization
Contact information
Practice address
324 S MERIDIAN RD, SUITE10, MERIDIAN, ID 83642-2959
(208) 884-5497
(208) 887-6498
Mailing address
324 S MERIDIAN RD, SUITE10, MERIDIAN, ID 83642-2959
(208) 884-5497
(208) 887-6498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH212
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805930400
—
ID
Enumeration date
08/30/2005
Last updated
08/11/2010
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