# ONESOURCE PDH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ONESOURCE PCS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194016196
- **Authorized official:** MR. RICHARD NEBEKER (OWNER)
- **Authorized official phone:** (208) 524-0685

## Contact information

- **Practice address:** 1680 ELK CREEK DR STE 100, IDAHO FALLS, ID 83404-1225
- **Practice address phone:** (208) 524-0685
- **Practice address fax:** (208) 524-0686
- **Mailing address:** 1680 ELK CREEK DR, IDAHO FALLS, ID 83404-1225
- **Mailing address phone:** (208) 524-0685
- **Mailing address fax:** (208) 524-0686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 06/29/2021
