Organization
TERRACE HOME HEALTH DARDENNE PRAIRIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RORY J WILLIAMS (CHIEF OPERATING OFFICER)
(208) 710-8066
Entity
Organization
Contact information
Practice address
7275 STATE HIGHWAY N, DARDENNE PRAIRIE, MO 63368-7128
(208) 710-8066
Mailing address
PO BOX 51298, IDAHO FALLS, ID 83405-1298
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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