Organization · NPI-2
Alliance Pcs
In Home Supportive Care · Idaho Falls, ID
NPI number1902309156
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1902309156
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Pcs
- Organization subpart
- No
- Enumeration date
- Mar 14, 2018
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1655 1st StIdaho Falls, ID 83401-4305
Phone 208-552-0249
Mailing address
1270 S Woodruff AveIdaho Falls, ID 83404-5544
Phone 208-552-0249
Authorized official
Brad Stauffer
Owner
2085520249
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