Andre's House

NPI #1609699693 in Idaho Falls, Idaho

Provider Information

NPI Number: 1609699693
Entity Type: Organization
Organization Name: Andre's House
Subpart: Yes (part of a larger organization)
Parent Organization: ANDRE'S HOUSE
Primary Specialty: Taxi
Enumeration Date: Nov 6, 2024
Last Updated: Nov 6, 2024

Practice Location

Address: 1425 CAMBRIDGE DR
City: Idaho Falls
State: Idaho
ZIP Code: 83401-4209
Phone: (208) 538-0610

Authorized Official

Name: MR. LARRY STANDFIELD JR.
Title: PRESIDENT
Phone: (208) 360-7608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Secured Medical Transport (VAN)	343800000X
Non-emergency Medical Transport (VAN)	343900000X
Transportation Broker	347E00000X
Taxi	344600000X	Primary

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