Abode H4h, LLC
Home Health in Idaho Falls, ID. Organization (NPI-2).
NPI number1023409679
StatusActive
Last updated in NPPESJun 29, 2016
Details
- NPI
- 1023409679
- Entity type
- Organization (NPI-2)
- Legal business name
- Abode H4h, LLC
- Organization subpart
- No
- Enumeration date
- Feb 17, 2015
- Last updated
- Jun 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HH-260 | ID | Yes |
Other names
- Abode Home Health (Doing Business As)
Practice location
503 S Woodruff AveIdaho Falls, ID 83401-5200
Phone 208-552-1177
Mailing address
503 S Woodruff AveIdaho Falls, ID 83401-5200
Phone 208-552-1177
Authorized official
David Kosloff
Cfo
2065760087
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