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Organization
KEYSTONE HOME HEALTH, LLC
Active
Organization
KEYSTONE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM RICH (VICE PRESIDENT)
(801) 580-8334
Entity
Organization
Contact information
Practice address
1159 E IRON EAGLE DR, SUITE 170-D, EAGLE, ID 83616-6871
(208) 209-3242
(208) 549-7880
Mailing address
1159 E IRON EAGLE DR, SUITE 170-D, EAGLE, ID 83616-6871
(208) 209-3242
(208) 549-7880
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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