Organization
ALLEGIANT IDAHO, LLC
Active
Other names
Allegiant Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY BERRY (EXECUTIVE DIRECTOR)
(208) 466-0987
Entity
Organization
Contact information
Practice address
210 12TH AVE RD, NAMPA, ID 83686-5013
(208) 466-0987
(208) 466-0985
Mailing address
119 S VALLEY DR # 114, NAMPA, ID 83686-2974
(208) 466-0987
(208) 466-0985
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251J00000X
—
ID
Enumeration date
11/28/2023
Last updated
04/08/2025
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