HEARTHSIDE HOME HEALTH AGENCY

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

137054

Ownership Type:

Proprietary

Date Certified:

05-27-1992

Address:

1403 LEADORE AVE

City, State, Zip:

SALMON , ID 83467

County:

LEMHI

Country:

Phone:

2087566383

Fax:

General Email:

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