Organization
PORTNEUF HOME HEALTH CARE, LLC
Active
Other names
Portneuf Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
1111 NORTH 8TH STREET, SUITE B, POCATELLO, ID 83201-5789
(208) 233-2137
(208) 233-2982
Mailing address
5959 SOUTH SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-106
ID
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807770600
—
ID
Enumeration date
01/12/2007
Last updated
04/25/2013
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