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Organization
HOME HEALTH HOLDINGS, LLC
Active
Organization
HOME HEALTH HOLDINGS, LLC
Active
Other names
Lifestyle Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB RAYMOND BRYAN MOT (OWNER)
(208) 522-1302
Entity
Organization
Contact information
Practice address
403 1ST ST, IDAHO FALLS, ID 83401-3928
(208) 522-1302
(208) 419-0974
Mailing address
403 1ST ST, IDAHO FALLS, ID 83401-3928
(208) 522-1302
(208) 419-0974
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ID
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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