| NPI | 1134271224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A NELSON Director 208-883-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: ID HH-133) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |