Allegiant Idaho, LLC

NPI #1821864125 in Nampa, Idaho

Provider Information

NPI Number: 1821864125
Entity Type: Organization
Organization Name: Allegiant Idaho, LLC
Primary Specialty: Nursing Care
Enumeration Date: Nov 28, 2023
Last Updated: Apr 8, 2025

Practice Location

Address: 210 12TH AVE RD
City: Nampa
State: Idaho
ZIP Code: 83686-5013
Phone: (208) 466-0987

Authorized Official

Name: MRS. TRACY BERRY
Title: EXECUTIVE DIRECTOR
Phone: (208) 466-0987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X	Primary

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