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General NPI Number Information
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NPI Number | 1164082210
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Entity Type | Organization
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Legal Business Name | BOISE HOME CARE INC. COMFORT KEEPERS
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 7646 W LEMHI ST STE 4
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City | BOISE
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State | ID
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Zip | 83709-2871
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Country | US
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Telephone | 208-895-8822
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Fax | 208-884-4116
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Provider Business Mailing Address
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Address Line | 7646 W LEMHI ST STE 4
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City | BOISE
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State | ID
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Zip | 83709-2871
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Country | US
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Telephone | 208-895-8822
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Fax | 208-884-4116
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Authorized Official
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Title or Position | OWNER
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Name | SONJIA YATES
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Credential |
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Telephone | 208-895-8822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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