Healthcare Provider Details

I. General information

NPI: 1922832161
Provider Name (Legal Business Name): RMC PERSONAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NORTHWEST BLVD STE 120
COEUR D ALENE ID
83814-5047
US

IV. Provider business mailing address

576 W 900 S STE 101
WOODS CROSS UT
84010-8232
US

V. Phone/Fax

Practice location:
  • Phone: 208-765-4343
  • Fax: 208-667-0494
Mailing address:
  • Phone: 801-397-4140
  • Fax: 801-397-4199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEE BANGERTER
Title or Position: MANAGER
Credential:
Phone: 801-397-4000