Organization · NPI-2
1 A Advanced International Home Care LLC
In Home Supportive Care · Boise, ID
NPI number1902305758
StatusActive
Last updated in NPPESFeb 7, 2018
Details
- NPI
- 1902305758
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 A Advanced International Home Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2018
- Last updated
- Feb 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Advanced International Home Care (Doing Business As)
Practice location
2645 N Cole Rd Ste FBoise, ID 83704-5970
Phone 208-322-3616 · Fax 208-322-6102
Mailing address
2645 N Cole Rd Ste FBoise, ID 83704-5970
Phone 208-322-3616 · Fax 208-322-6102
Authorized official
Petar Amador
Owner
2088886232
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