3 And 1, LLC
In Home Supportive Care in Coeur D Alene, ID. Organization (NPI-2).
NPI number1871055152
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1871055152
- Entity type
- Organization (NPI-2)
- Legal business name
- 3 And 1, LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2019
- Certification date
- May 26, 2022
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Firstlight Home Care (Doing Business As)
Practice location
1900 Northwest Blvd Ste 110Coeur D Alene, ID 83814-2788
Phone 208-758-8090 · Fax 208-214-3222
Mailing address
1900 Northwest Blvd Ste 110Coeur D Alene, ID 83814-2788
Phone 208-758-8090 · Fax 208-214-3222
Authorized official
Matt Zastrow
Part Owner
2087588090
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All 24 In Home Supportive Care Agency providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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