| Northstar In Home Support Services | |
|
3323 East B 3600 North Kimberly ID 83341 | |
| (208) 420-4663 | |
| Not Available |
| Full Name | Northstar In Home Support Services |
|---|---|
| Speciality | Social Worker |
| Location | 3323 East B 3600 North, Kimberly, Idaho |
| Authorized Official Name and Position | Korey Lynn Solomon (OWNER) |
| Authorized Official Contact | 2084204663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar In Home Support Services 3323 East B 3600 North Kimberly ID 83341 Ph: (208) 420-4663 | Northstar In Home Support Services 3323 East B 3600 North Kimberly ID 83341 Ph: (208) 420-4663 |
| NPI Number | 1063047470 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063047470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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