Atitida Echi-Aboli

Individual provider Active NPI Home Health Aide · Saint Anthony, ID

NPI 1083386155 · NPPES record last updated Sep 28, 2021

Key facts

NPI
1083386155
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
123 E 3Rd N
Saint Anthony, ID 83445-1525
Phone
(385) 515-5386
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X ID Yes

Addresses

Primary practice location

123 E 3Rd N
Saint Anthony, ID 83445-1525

Mailing address

123 E 3Rd N
Saint Anthony, ID 83445-1525
Phone (385) 515-5386

Other providers in Saint Anthony, ID

All providers in Saint Anthony, ID · Home Health Aide in Idaho

Sources for this page

Verify at the official NPI Registry.