Provider Demographics
NPI:1063716207
Name:SPOKANE HOME HEALTHCARE INC
Entity type:Organization
Organization Name:SPOKANE HOME HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SETZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-456-0200
Mailing Address - Street 1:411 W HAYCRAFT AVE
Mailing Address - Street 2:SUITE B2
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-8105
Mailing Address - Country:US
Mailing Address - Phone:208-765-3387
Mailing Address - Fax:208-667-3908
Practice Address - Street 1:411 W HAYCRAFT AVE
Practice Address - Street 2:SUITE B2
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-8105
Practice Address - Country:US
Practice Address - Phone:208-765-3387
Practice Address - Fax:208-667-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies