# ALLEGIANT HEALTH LLC

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

## Provider details

- **NPI number:** 1740674621
- **Authorized official:** MR. JOSEPH JAMES HAZEL (OWNER)
- **Authorized official phone:** (208) 941-8879

## Contact information

- **Practice address:** 210 12TH AVE RD, NAMPA, ID 83686-5013
- **Practice address phone:** (208) 941-8879
- **Mailing address:** 524 3RD ST S, P.O. BOX 183, NAMPA, ID 83651-3720

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 03/27/2015