Healthcare Provider Details

I. General information

NPI: 1699865527
Provider Name (Legal Business Name): HELPING HANDS SANCTUARY OF IDAHO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1477 GROVE ST
SAN FRANCISCO CA
94117-1421
US

IV. Provider business mailing address

PO BOX 4837
POCATELLO ID
83205-4837
US

V. Phone/Fax

Practice location:
  • Phone: 415-563-0565
  • Fax: 415-922-4245
Mailing address:
  • Phone: 208-637-0999
  • Fax: 208-637-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MISS REBECCA LOUISE ADAMSON
Title or Position: ACCOUNTS RECEIVABLE SPECIALIST
Credential:
Phone: 208-221-6828