Organization
LHCG XVII, LLC
Active
Other names
Idaho Home Health & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
722 N COLLEGE RD STE 150, TWIN FALLS, ID 83301-6487
(208) 734-4061
(208) 734-3471
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
10/10/2023
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