Organization
COMMUNITY NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JED ROBERTSON (MANAGER)
(208) 529-3342
Entity
Organization
Contact information
Practice address
1499 CURLEW DR, AMMON, ID 83406-4764
(208) 313-7600
Mailing address
1499 CURLEW DR, AMMON, ID 83406-4764
(208) 313-7600
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHA-253
—
ID
Enumeration date
04/22/2019
Last updated
03/05/2025
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