Organization
ALLEGIANT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH JAMES HAZEL (OWNER)
(208) 941-8879
Entity
Organization
Contact information
Practice address
210 12TH AVE RD, NAMPA, ID 83686-5013
(208) 941-8879
Mailing address
524 3RD ST S, P.O. BOX 183, NAMPA, ID 83651-3720
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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