IF
IDAHO FALLS ASC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
IDAHO FALLS, ID
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1174005235
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients375
RevalidationDue 2026-01-31
Authorized official
NameNED HILLYARD
TitleCCO
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