| Mountain Home Nutrition Services Llc | |
|
285 E 4th N, Mountain Home, ID 83647 | |
| (208) 590-0858 | |
| Not Available |
| Full Name | Mountain Home Nutrition Services Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 285 E 4th N, Mountain Home, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417442120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-039 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Home Nutrition Services Llc 285 E 4th N, Mountain Home, ID 83647-2716 Ph: (208) 590-0858 | Mountain Home Nutrition Services Llc 285 E 4th N, Mountain Home, ID 83647 Ph: (208) 590-0858 |
Austen Davis Kemper, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-881-1960 | |
Ms. Laura Jean Moulton, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 285 E 4th N, Mountain Home, ID 83647 Phone: 208-590-0858 Fax: 855-740-2997 | |
Elisabeth Stephens, RD Dietitian Medicare: Medicare Enrolled Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-2450 Fax: 208-587-2451 | |
Jacob Hohenshelt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 208-841-5393 |