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Organization

FIRST CHOICE HOME CARE & HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA GATES RN (ADMINISTRATOR)
(208) 736-0900
Entity
Organization

Contact information

Practice address
147 MAIN AVE E, TWIN FALLS, ID 83301-6229
(208) 736-0900
Mailing address
147 MAIN AVE E, TWIN FALLS, ID 83301-6229
(208) 736-0900
(209) 733-2196

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010028726
REGENCE BLUE SHIELD
ID
01
HO317
BLUE CROSS OF IDAHO
ID
Enumeration date
06/30/2006
Last updated
08/22/2020
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