IndividualActive
Jonathan Loosle
NPI 1629317078 · Home Health Aide · Eagle, ID
Provider details
- NPI number
- 1629317078
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1472 E Iron Eagle Dr
Eagle, ID 83616-6598
Phone: (208) 577-1188
Approximate (ZIP-level) locationGet directions
Mailing address
1472 E Iron Eagle Dr
Eagle, ID 83616-6598
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2013-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.