Organization Name: | BONNERS HOME CARE |
NPI Number: | 1124384185 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GINGER LEE PERRENOUD (OWNER) |
Mailing Address: | 65800 Highway 2 Bonners Ferry |
State: | ID US |
Postal Code: | 838055231 |
Phone Number: | 2083046854 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |