Organization
HOME HEALTH HOLDINGS, LLC
Active
Other names
Avalon Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RAYMOND BRYAN M.O.T. (OWNER, OPERATOR)
(208) 270-6086
Entity
Organization
Contact information
Practice address
3767 PROFESSIONAL WAY, IDAHO FALLS, ID 83402-7315
(208) 419-0896
(208) 419-0974
Mailing address
3767 PROFESSIONAL WAY, IDAHO FALLS, ID 83402-7315
(208) 419-0896
(208) 419-0974
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
ID
Other
Enumeration date
01/26/2016
Last updated
07/21/2022
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