Organization
ALL CARE HEALTH SOLUTIONS-PCS DIVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FLOWERS (OWNER)
(208) 938-0992
Entity
Organization
Contact information
Practice address
815 S BRIDGE WAY PL STE 116, EAGLE, ID 83616-6021
(208) 938-0992
(208) 938-4068
Mailing address
815 S BRIDGE WAY PL STE 116, EAGLE, ID 83616-6021
(208) 938-0992
(208) 938-4068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558787341
—
ID
Enumeration date
03/23/2015
Last updated
03/23/2015
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