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Longshot Enterprises, Inc.
Home Health Agency in Pocatello, Idaho
NPI 1396133732

Longshot Enterprises, Inc. is a Home Health Agency based in Pocatello, ID. Longshot Enterprises, Inc. practices in Pocatello, ID. The NPI Number for Longshot Enterprises, Inc. is 1396133732 and holds a License No. (Idaho).

The current practice location address for Longshot Enterprises, Inc. is 353 E Lander St, Pocatello, ID and can be reached out via phone at 208-234-2380 and via fax at 208-234-8040.

Location: 353 E Lander St, Pocatello, ID, 83201-6314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396133732
Provider Name
Longshot Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
353 E Lander St, Pocatello, ID, 83201-6314
Phone Number
208-234-2380
Fax Number
208-234-8040
Provider Enumeration Date
01/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
353 E Lander St
City
Pocatello
State
Idaho
Zip
83201-6314
Phone Number
208-234-2380
Fax Number
208-234-8040
person
Provider Business Mailing Address Details
Address
353 E Lander St
City
Pocatello
State
Idaho
Zip
83201-6314
Phone Number
208-234-2380
Fax Number
208-234-8040
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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