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TETON HOME HEALTH

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Company Details

Name: TETON HOME HEALTH
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 29 Jan 2016 (9 years ago)
Entity Number: 556368
Place of Formation: IDAHO
File Number: 0000556368
ZIP code: 83401
County: Bonneville County
Mailing Address: 403 1ST STREET IDAHO FALLS, ID 83401

National Provider Identifier

NPI Number:
1003129073

Authorized Person:

Name:
MR. JAKE BRYAN
Role:
MANAGER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
2084190974

Filing

Filing Name Filing Number Filing date
Initial Filing 0000556368 2016-01-29

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State