Organization
AEGIS IDAHO LLC
Active
Other names
Aegis Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MANGUM (CEO)
(435) 514-5646
Entity
Organization
Contact information
Practice address
30 N STATE ST, PRESTON, ID 83263-1237
(435) 723-9000
(435) 734-9819
Mailing address
30 N STATE ST, PRESTON, ID 83263-1237
(435) 723-9000
(435) 734-9819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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