Organization
COMMUNITY NURSING SERVICE
Active
Other names
Home Health of Eastern Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
LANECE BRINKERHOFF (VP CONTRACTING)
(801) 233-6100
Entity
Organization
Contact information
Practice address
1810 MORAN ST, IDAHO FALLS, ID 83401-4337
(208) 529-0342
Mailing address
2830 S REDWOOD RD STE A, WEST VALLEY CITY, UT 84119-5626
(801) 639-5455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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