# PREMIUM CHOICE HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730520412
- **Authorized official:** BRUCE HAMPTON (OWNER)
- **Authorized official phone:** (208) 313-6607

## Contact information

- **Practice address:** 1970 E 17TH ST, SUITE 207, IDAHO FALLS, ID 83404-8014
- **Practice address phone:** (208) 313-6607
- **Mailing address:** 1970 E 17TH ST, SUITE 207, IDAHO FALLS, ID 83404-8014

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013