Organization
AGEWELL CONNECTIONS LLC.
Active
Organization
AGEWELL CONNECTIONS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES JOHNSON (FOUNDER)
(208) 403-6191
Entity
Organization
Contact information
Practice address
255 B ST STE 308, IDAHO FALLS, ID 83402-3517
(208) 244-0040
(208) 244-0040
Mailing address
255 B ST STE 308, IDAHO FALLS, ID 83402-3517
(208) 244-0040
(208) 277-1881
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332BC3200X
Customized Equipment (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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