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Organization
AEGIS IDAHO LLC
Active
Organization
AEGIS IDAHO LLC
Active
Other names
Aegis Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MANGUM (CEO)
(435) 514-5646
Entity
Organization
Contact information
Practice address
30 N STATE ST, PRESTON, ID 83263-1237
(435) 723-9000
(435) 734-9819
Mailing address
30 N STATE ST, PRESTON, ID 83263-1237
(435) 723-9000
(435) 734-9819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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