Organization
1 A ADVANCED INTERNATIONAL HOME CARE LLC
Active
Other names
Advanced International Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
PETAR AMADOR (OWNER)
(208) 888-6232
Entity
Organization
Contact information
Practice address
2645 N COLE RD STE F, BOISE, ID 83704-5970
(208) 322-3616
(208) 322-6102
Mailing address
2645 N COLE RD STE F, BOISE, ID 83704-5970
(208) 322-3616
(208) 322-6102
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0003294
—
ID
Enumeration date
02/07/2018
Last updated
02/07/2018
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