Organization
PROHEALTH HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA JEAN ANDREWS RN (DIRECTOR OF NURSING)
(208) 235-6565
Entity
Organization
Contact information
Practice address
936 E CENTER ST, POCATELLO, ID 83201-5702
(208) 235-6565
(208) 235-7624
Mailing address
936 E CENTER ST, POCATELLO, ID 83201-5702
(208) 235-6565
(208) 235-7624
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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