Organization
ADVANCED HOME HEALTH AND HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ABEL (COO)
(208) 346-7807
Entity
Organization
Contact information
Practice address
850 ENERGY PL STE 1, IDAHO FALLS, ID 83401-1502
(208) 346-7807
(208) 346-7790
Mailing address
850 ENERGY PL STE 1, IDAHO FALLS, ID 83401-1502
(208) 346-7807
(208) 346-7790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
N-30834
ID
251G00000X
Community Based Hospice Care Agency
N-30834
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366686826
—
ID
Enumeration date
04/28/2009
Last updated
09/29/2021
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