Organization
HALO HEALTH HOMECARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWS MOHAMED (OWNER/ PRESIDENT)
(206) 399-6143
Entity
Organization
Contact information
Practice address
1111 S ORCHARD ST STE 168, BOISE, ID 83705-1977
(206) 399-6143
Mailing address
1111 S ORCHARD ST STE 168, BOISE, ID 83705-1977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
09/12/2025
Last updated
11/12/2025
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