Organization
PERSONAL HOME CARE
Active
Organization
PERSONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PALMER (OWNER)
(208) 588-2302
Entity
Organization
Contact information
Practice address
402 ELM ST, MACKAY, ID 83251-7734
(208) 588-2302
Mailing address
PO BOX 52, MACKAY, ID 83251-0052
(208) 588-2302
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
04/22/2025
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