NPI 1629252994
Qualicare INC.
Practice location
- Address
- 3539 Briar Creek Ln Suite a, Ammon, ID 83406-4761
- Phone
- (208) 542-1388
- Fax
- (208) 552-7847
Authorised official
- Name
- Bart O Larsen
- Title
- Owner/Manager
- Phone
- (208) 542-1388
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1629252994
- Entity type
- Organization
- NPI issued
- 21 Dec 2007
- Record last updated
- 14 Feb 2008
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.