Organization
POSITIVE ENERGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ROBERTSON ZORNIK CNA (OWNER)
(208) 866-2116
Entity
Organization
Contact information
Practice address
4003 W GLENDALE ST, BOISE, ID 83703-5117
(208) 866-2116
(208) 381-0350
Mailing address
4003 W GLENDALE ST, BOISE, ID 83703-5117
(208) 866-2116
(208) 381-0350
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
000000015080
ID
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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