Organization · NPI-2
1 A Northwest Senior In Home Care Services INC.
In Home Supportive Care · Boise, ID
NPI number1497227649
StatusActive
Last updated in NPPESDec 28, 2018
Details
- NPI
- 1497227649
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 A Northwest Senior In Home Care Services INC.
- Organization subpart
- No
- Enumeration date
- Dec 28, 2018
- Last updated
- Dec 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Northwest Senior In Home Services (Doing Business As)
Practice location
2645 N Cole Rd Ste FBoise, ID 83704-5970
Phone 208-488-4185 · Fax 208-392-1117
Mailing address
2645 N Cole Rd Ste FBoise, ID 83704-5970
Phone 208-488-4185 · Fax 208-392-1117
Authorized official
Thomas Amador
Director
2084884185
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