Organization
CANYON COUNTY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY STOKER (PRESIDENT)
(208) 546-1050
Entity
Organization
Contact information
Practice address
1029 WHITE HORSE RIDGE DR, MIDDLETON, ID 83644-4732
(208) 546-1050
Mailing address
1029 WHITE HORSE RIDGE DR, MIDDLETON, ID 83644-4732
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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