Addus Healthcare (Idaho), INC.
Home Health in Coeur D Alene, ID. Organization (NPI-2).
NPI number1790718781
StatusActive
Last updated in NPPESMay 26, 2010
Details
- NPI
- 1790718781
- Entity type
- Organization (NPI-2)
- Legal business name
- Addus Healthcare (Idaho), INC.
- Organization subpart
- Yes
- Enumeration date
- Jul 10, 2006
- Last updated
- May 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HH-229 | ID | Yes |
| 251E00000X | Home Health | HH229 | ID |
Other names
- A Full Life Health Care INC. (Doing Business As)
Practice location
233 E Locust AveCoeur D Alene, ID 83814-5748
Phone 208-765-8016 · Fax 208-765-0690
Mailing address
2401 S Plum Grove RdPalatine, IL 60067-7486
Phone 847-303-5300 · Fax 847-303-5435
Authorized official
Diane Kumarich
National Contracts
8473035300
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All 17 Home Health Agency providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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