Organization
HERITAGE HOME HEALTH, LLC
Active
Other names
Heritage Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JONNY RYAN FISHER (CEO)
(208) 238-0088
Entity
Organization
Contact information
Practice address
1009 W QUINN RD, SUITE B, POCATELLO, ID 83202-2425
(208) 238-0088
(208) 238-0055
Mailing address
1009 W QUINN RD, SUITE B, POCATELLO, ID 83202-2425
(208) 238-0088
(208) 238-0055
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
04/24/2026
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