Disability Action Center
Home Health in Moscow, ID. Organization (NPI-2).
NPI number1396861480
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1396861480
- Entity type
- Organization (NPI-2)
- Legal business name
- Disability Action Center
- Organization subpart
- No
- Enumeration date
- Mar 21, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
124 E 3rd StMoscow, ID 83843-2906
Phone 208-883-0523 · Fax 208-883-0524
Mailing address
307 19th St Ste A1Lewiston, ID 83501-2086
Phone 208-746-9033 · Fax 208-746-1004
Authorized official
Mark Leeper
Ceo-Director
2088830523
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