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Organization
COMMUNITY NURSING SERVICE
Active
Organization
COMMUNITY NURSING SERVICE
Active
Other names
Home Health of Eastern Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
LANECE BRINKERHOFF (VP CONTRACTING)
(801) 233-6100
Entity
Organization
Contact information
Practice address
1810 MORAN ST, IDAHO FALLS, ID 83401-4337
(208) 529-0342
Mailing address
2830 S REDWOOD RD STE A, WEST VALLEY CITY, UT 84119-5626
(801) 639-5455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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