Organization
HERITAGE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONNY RYAN FISHER (CEO)
(208) 238-0088
Entity
Organization
Contact information
Practice address
1009 W QUINN RD, POCATELLO, ID 83202-2425
(801) 698-8927
Mailing address
1009 W QUINN RD, POCATELLO, ID 83202-2425
(208) 238-0088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
04/24/2026
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