Organization
ADVANCED HOME HEALTH AND HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ABEL (ADMINISTRATOR)
(208) 346-7807
Entity
Organization
Contact information
Practice address
444 HOSPITAL WAY STE 223, POCATELLO, ID 83201-2742
(208) 269-1200
(208) 269-1220
Mailing address
PO BOX 1784, IDAHO FALLS, ID 83403-1784
(208) 346-7807
(208) 346-7790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID004019
—
ID
Enumeration date
04/10/2018
Last updated
09/29/2020
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