Organization
HEALTHY LIVING AT HOME-POCATELLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RUSHTON (REGIONAL VICE PRESIDENT)
(208) 999-4110
Entity
Organization
Contact information
Practice address
2950 E MAGIC VIEW DR STE 150, MERIDIAN, ID 83642-6253
(208) 949-7077
Mailing address
2950 E MAGIC VIEW DR STE 150, MERIDIAN, ID 83642-6253
(208) 949-7077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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