Organization
FOUNTAIN HILLS MEDICAL & HOME HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEMBI JUDIS CHE DNP, ARNP (OWNER)
(509) 780-3155
Entity
Organization
Contact information
Practice address
1705 11TH ST, LEWISTON, ID 83501-3932
(208) 553-4308
Mailing address
1705 11TH ST, LEWISTON, ID 83501-3932
(208) 553-4308
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
04/24/2025
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