NPI 1396133732

Longshot Enterprises, INC.

Organisation Home Health Agency Pocatello, ID

Practice location

Address: 353 E Lander St, Pocatello, ID 83201-6314
Phone: (208) 234-2380
Fax: (208) 234-8040

Authorised official

Name: Teresa Nelson
Title: Administrator
Phone: (208) 234-2380

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

Other Home Health providers in Idaho →

Registry record

NPI: 1396133732
Entity type: Organization
NPI issued: 8 Jan 2015
Record last updated: 21 Jan 2015

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.