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PROV16, LLC

1111 S ORCHARD ST STE 206, BOISE, ID 83705

(208) 285-2353

In Home Supportive Care

Agency Information

Agency Name
PROV16, LLC
Service Type
In Home Supportive Care
Address
1111 S ORCHARD ST STE 206, BOISE, ID 83705
Phone Number
(208) 285-2353
NPI Number
1689330417
Authorized Official
RUTH HERRERA (Director of Contract Procurement)
Enumeration Date
2021-11-16

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