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General NPI Number Information
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NPI Number | 1558787341
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Entity Type | Organization
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Legal Business Name | ALL CARE HEALTH SOLUTIONS-PCS DIVISIONLLC
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 815 S BRIDGE WAY PL SUITE 122
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City | EAGLE
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State | ID
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Zip | 83616-6006
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Country | US
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Telephone | 208-371-6364
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Fax | 208-344-3502
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Provider Business Mailing Address
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Address Line | 1759 S MILLENIUM WAY
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City | MERIDIAN
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State | ID
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Zip | 83642-1511
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Country | US
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Telephone | 208-947-4020
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Fax | 208-295-8966
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JENNIFER FLOWERS
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Credential |
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Telephone | 208-947-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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