Organization
HOMEDCO LLC
Active
Organization
HOMEDCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COLLETTE (MEMBER)
(208) 529-0800
Entity
Organization
Contact information
Practice address
3470 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7579
(208) 529-0800
Mailing address
PO BOX 3881, IDAHO FALLS, ID 83403-3881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME289
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME289
DME LICENSE
ID
Enumeration date
05/22/2007
Last updated
08/22/2020
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