Organization
ASPEN HOME HEALTH PRIVATE DUTY LLC
Active
Other names
IntegriCare of Eastern Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT COLLETTE (MEMBER)
(208) 523-9887
Entity
Organization
Contact information
Practice address
3470 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7579
(208) 523-9887
Mailing address
PO BOX 3881, IDAHO FALLS, ID 83403-3881
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-117
ID
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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