Organization
ONESOURCE PDH LLC
Active
Other names
ONESOURCE PCS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD NEBEKER (OWNER)
(208) 524-0685
Entity
Organization
Contact information
Practice address
1680 ELK CREEK DR STE 100, IDAHO FALLS, ID 83404-1225
(208) 524-0685
(208) 524-0686
Mailing address
1680 ELK CREEK DR, IDAHO FALLS, ID 83404-1225
(208) 524-0685
(208) 524-0686
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
06/29/2021
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