Organization · Type 2 NPI

State of Idaho

Home Health Agency · Pocatello, ID

NPI number 1649277393 Active

Practice location

1901 Alvin Ricken Dr
Pocatello, ID 83201-2727

Call (208) 239-5210 Map

Fax (208) 478-6306

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X13-7001 (ID)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1649277393

State of Idaho's National Provider Identifier is 1649277393, issued on Jul 7, 2005. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 22, 2020.