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Organization
EDEN HOME HEALTH OF IDAHO FALLS, LLC
Active
Organization
EDEN HOME HEALTH OF IDAHO FALLS, LLC
Active
Parent organization
EMPRES HOME HEALTH, LLC
Other names
Eden Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES HOME HEALTH, LLC
Authorized official
MICHAEL J. MILLER (CFO AND ASSISTANT MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
2540 CHANNING WAY, IDAHO FALLS, ID 83404-7515
(208) 523-1980
(208) 523-4024
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
(360) 892-6628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
HH-248
ID
251J00000X
Nursing Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/09/2014
Last updated
02/10/2022
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