Individual
LODAICY E TELDESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 N PANKRATZ WAY, MERIDIAN, ID 83646-6865
(208) 901-9079
Mailing address
3722 N PANKRATZ WAY, MERIDIAN, ID 83646-6865
(208) 901-9079
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ID
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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