Organization
ALLIANCE HOME HEALTH OF IDAHO, LLC
Active
Other names
Alliance Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LARSEN (OWNER/ PRESIDENT)
(435) 753-3133
Entity
Organization
Contact information
Practice address
218 FALLS AVE, TWIN FALLS, ID 83301-3372
(208) 733-2234
(208) 733-2542
Mailing address
545 W 465 N, SUITE 100, PROVIDENCE, UT 84332-8003
(435) 753-3133
(435) 753-3542
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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