Organization
HEARTHSIDE HOME HEALTH AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANNA VERMAAS RN/BSN (ADMINISTATOR OWNER)
(209) 756-6383
Entity
Organization
Contact information
Practice address
1403 LEADORE AVE, SALMON, ID 83467-3622
(208) 756-6383
(208) 756-1312
Mailing address
1403 LEADORE AVE, SALMON, ID 83467-3622
(208) 756-6383
(208) 756-1312
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-135
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002703600
—
ID
Enumeration date
07/07/2006
Last updated
07/16/2010
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