NPI 1063587509
Alliance Home Health of Idaho, LLC
Practice location
- Address
- 353 N 4th Ave Suite 205, Pocatello, ID 83201-6390
- Phone
- (208) 478-2291
- Fax
- (208) 478-1363
Authorised official
- Name
- Justin L. Larsen
- Title
- Owner, Ceo
- Phone
- (435) 753-3133
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1063587509
- Entity type
- Organization
- NPI issued
- 21 Nov 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.