Organization
LONGSHOT ENTERPRISES, INC.
Active
Other names
Home Helpers Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA NELSON (ADMINISTRATOR)
(208) 234-2380
Entity
Organization
Contact information
Practice address
353 E LANDER ST, POCATELLO, ID 83201-6314
(208) 234-2380
(208) 234-8040
Mailing address
353 E LANDER ST, POCATELLO, ID 83201-6314
(208) 234-2380
(208) 234-8040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/21/2015
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