NPI 1396040614

Tdmk, LLC

Organisation Home Health Agency Eagle, ID

Practice location

Address: 815 S Bridge Way Pl Suite 122, Eagle, ID 83616-6006
Phone: (208) 473-2717
Fax: (877) 890-5617

Authorised official

Name: Angela Hilleshiem
Title: Owner/Administrator
Phone: (208) 473-2717

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence HH-253 (ID)

Other Home Health providers in Idaho →

Registry record

NPI: 1396040614
Entity type: Organization
NPI issued: 18 Jan 2011
Record last updated: 13 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.