Organization
PUBLIC HEALTH DISTRICT 1
Active
Other names
Panhandle Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD DUFFY (DIRECTOR)
(208) 415-5163
Entity
Organization
Contact information
Practice address
8500 N ATLAS RD, HAYDEN, ID 83835-7677
(208) 415-5160
(208) 415-5161
Mailing address
8500 N ATLAS RD, HAYDEN, ID 83835-7677
(208) 415-5160
(208) 415-5161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-164
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002470700
—
ID
Enumeration date
05/23/2005
Last updated
03/16/2022
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