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Ms. Vicki J Larson
Adult Care Home Facility in Nampa, Idaho
NPI 1376701367

Vicki J Larson is an Adult Care Home Facility based in Nampa, ID and is specialized in Adult Care Home. Vicki J Larson practices in Nampa, ID. The NPI Number for Vicki J Larson is 1376701367 and holds a License No. (Idaho).

The current practice location address for Vicki J Larson is 2914 E Powerline Rd, Nampa, ID and can be reached out via phone at 208-353-0329.

Location: 2914 E Powerline Rd, Nampa, ID, 83687-4920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376701367
Provider Name
Vicki J Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2914 E Powerline Rd, Nampa, ID, 83687-4920
Phone Number
208-353-0329
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806519600 05 ID
institution
Provider Business Practice Location Address Details
Address
2914 E Powerline Rd
City
Nampa
State
Idaho
Zip
83687-4920
Phone Number
208-353-0329
Fax Number
person
Provider Business Mailing Address Details
Address
2914 E Powerline Rd
City
Nampa
State
Idaho
Zip
83687-4920
Phone Number
208-353-0329
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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