Onesource Pdh LLC
NPI #1194016196 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1194016196
- Entity Type
- Organization
- Organization Name
- Onesource Pdh LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 25, 2011
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 1680 ELK CREEK DR STE 100
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-1225
- Phone
- (208) 524-0685
Authorized Official
- Name
- MR. RICHARD NEBEKER
- Title
- OWNER
- Phone
- (208) 524-0685
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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