Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareMS. VICKI J LARSON
Adult Care Home
Nampa, Idaho
Provider NPI: 1376701367
Provider Information:MS. VICKI J LARSON
Practice Location:
2914 E POWERLINE RD NAMPA, ID 83687 US
Tel: 208-353-0329 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 806519600 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
