Portneuf Home Health Care, LLC

NPI #1720138563 in Pocatello, Idaho

Provider Information

NPI Number: 1720138563
Entity Type: Organization
Organization Name: Portneuf Home Health Care, LLC
Primary Specialty: Home Health
Enumeration Date: Jan 12, 2007
Last Updated: Apr 25, 2013

Practice Location

Address: 1111 NORTH 8TH STREET
Address 2: SUITE B
City: Pocatello
State: Idaho
ZIP Code: 83201-5789
Phone: (208) 233-2137

Authorized Official

Name: MR. WILLIAM F BORNE
Title: CEO
Phone: (225) 292-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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