Aspen Meadows Home Care LLC

Organization Active NPI In Home Supportive Care Agency · Salmon, ID

NPI 1689098964 · NPPES record last updated Feb 7, 2014

Key facts

NPI
1689098964
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
ASPEN MEADOWS HOME CARE LLC
Practice address
104 South Warpath
Salmon, ID 83467
Phone
(208) 940-1350
Fax
(208) 756-2903
NPI assigned
Feb 7, 2014
Organization subpart
No

Authorized official

Name
Mr. Wayne J Hamblin Jr.
Title
Owner
Phone
(208) 940-1350

National Provider Directory

Locations

104 S Warpath
Salmon, ID 83467
Phone (208) 278-6027

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

104 South Warpath
Salmon, ID 83467

Mailing address

104 South Warpath
Salmon, ID 83467
Phone (208) 940-1350

Other identifiers

IdentifierTypeStateIssuer
A0001540MedicaidID

Other providers in Salmon, ID

All providers in Salmon, ID · In Home Supportive Care Agency in Idaho

Sources for this page

Verify at the official NPI Registry.