Organization · NPI-2

Allegiant Health LLC

In Home Supportive Care · Nampa, ID

NPI number1710410378
StatusActive
Last updated in NPPESApr 10, 2017

Details

NPI
1710410378
Entity type
Organization (NPI-2)
Legal business name
Allegiant Health LLC
Organization subpart
No
Enumeration date
Apr 10, 2017
Last updated
Apr 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care1740674621IDYes

Other names

  • Allegiant Home Care (Doing Business As)

Practice location

210 12th Ave Rd
Nampa, ID 83686-5013

Phone 208-466-0987 · Fax 208-466-0985

Mailing address

210 12th Ave Rd
Nampa, ID 83686-5013

Phone 208-466-0987 · Fax 208-466-0985

Authorized official

Nicole Smith
Executive Director
2084660987

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