Organization
HOME HEALTH HOLDINGS, LLC
Active
Other names
Lifestyle Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB RAYMOND BRYAN MOT (OWNER)
(208) 522-1302
Entity
Organization
Contact information
Practice address
403 1ST ST, IDAHO FALLS, ID 83401-3928
(208) 522-1302
(208) 419-0974
Mailing address
403 1ST ST, IDAHO FALLS, ID 83401-3928
(208) 522-1302
(208) 419-0974
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ID
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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