# WESTERN VISITING NURSES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Choice Home Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558368233
- **Authorized official:** MR. DEXTRAL DALE MILES MBA (ADMINISTRATOR)
- **Authorized official phone:** (208) 522-3291

## Contact information

- **Practice address:** 1400 BENTON ST, IDAHO FALLS, ID 83401-4253
- **Practice address phone:** (208) 522-3291
- **Practice address fax:** (208) 529-3914
- **Mailing address:** 1400 BENTON ST, IDAHO FALLS, ID 83401-4253
- **Mailing address phone:** (208) 522-3291
- **Mailing address fax:** (208) 529-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH-195 | ID | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 03/06/2012
