Organization
LOVING HEARTS PHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLEE GRAVES LPN (OWNER/MANAGER)
(208) 380-5383
Entity
Organization
Contact information
Practice address
66 S CENTER ST, WESTON, ID 83286-5010
(208) 380-5405
Mailing address
66 S CENTER ST, WESTON, ID 83286-5010
(208) 380-5405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
203
ID
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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