Creekside Home Health INC.
Home Health in Idaho Falls, ID. Organization (NPI-2).
NPI number1114098910
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114098910
- Entity type
- Organization (NPI-2)
- Legal business name
- Creekside Home Health INC.
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
3686 Washington PkwyIdaho Falls, ID 83404-7573
Phone 801-747-5500 · Fax 801-747-5592
Mailing address
Po Box 65788Salt Lake City, UT 84165-0788
Phone 801-747-5500 · Fax 801-747-5592
Authorized official
Robert H Breinholt
President
8017475500
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