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Organization
ALLIANCE PCS
Active
Organization
ALLIANCE PCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD STAUFFER (OWNER)
(208) 552-0249
Entity
Organization
Contact information
Practice address
1655 1ST ST, IDAHO FALLS, ID 83401-4305
(208) 552-0249
Mailing address
1270 S WOODRUFF AVE, IDAHO FALLS, ID 83404-5544
(208) 552-0249
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/14/2018
Last updated
10/20/2020
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