Community Nursing Service
Home Health in Idaho Falls, ID. Organization (NPI-2).
NPI number1114637006
StatusActive
Last updated in NPPESDec 1, 2022
Details
- NPI
- 1114637006
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Nursing Service
- Organization subpart
- No
- Enumeration date
- Dec 1, 2022
- Certification date
- Dec 1, 2022
- Last updated
- Dec 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Home Health Of Eastern Idaho (Doing Business As)
Practice location
1810 Moran StIdaho Falls, ID 83401-4337
Phone 208-529-0342
Mailing address
2830 S Redwood Rd Ste AWest Valley City, UT 84119-5626
Phone 801-639-5455
Authorized official
Lanece Brinkerhoff
Vp Contracting
8012336100
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