# PORTNEUF HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Portneuf Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720138563
- **Authorized official:** MR. WILLIAM F BORNE (CEO)
- **Authorized official phone:** (225) 292-2031

## Contact information

- **Practice address:** 1111 NORTH 8TH STREET, SUITE B, POCATELLO, ID 83201-5789
- **Practice address phone:** (208) 233-2137
- **Practice address fax:** (208) 233-2982
- **Mailing address:** 5959 SOUTH SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
- **Mailing address phone:** (225) 292-2031
- **Mailing address fax:** (225) 295-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH-106 | ID | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 04/25/2013