Individual provider · Type 1 NPI

Vicki J. Larson

Adult Care Home Facility · Nampa, ID

NPI number 1376701367 Active

Practice location

2914 E Powerline Rd
Nampa, ID 83687-4920

Call (208) 353-0329 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: 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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About NPI 1376701367

Vicki J. Larson's National Provider Identifier is 1376701367, issued on May 28, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Nampa, ID. The record was last updated on May 28, 2008.