Organization
SIGNATURE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L DAVIS (ADMINI)
(208) 524-0685
Entity
Organization
Contact information
Practice address
2052 JENNIE LEE DR, IDAHO FALLS, ID 83404-7000
(208) 524-0685
(208) 524-0686
Mailing address
2052 JENNIE LEE DR, IDAHO FALLS, ID 83404-7000
(208) 524-0685
(208) 524-0686
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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