Organization
A FULL LIFE HOME HEALTH LEWISTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOPE BRACKETT (ADMINISTRATOR)
(208) 746-8881
Entity
Organization
Contact information
Practice address
102 11TH ST, LEWISTON, ID 83501-1936
(208) 746-8881
(208) 746-5694
Mailing address
102 11TH ST, LEWISTON, ID 83501-1936
(208) 746-8881
(208) 746-5694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
ID
Other
Enumeration date
02/09/2007
Last updated
09/17/2007
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