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1194112037
UT - SIGNATURE HPC LLC
AMMON, ID
NPI
1194112037
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Entity Type
Organization
Authorized Contact
RICHARD K NEBEKE
Owner
208-524-0685
Organization Subpart ?
No
Primary Taxonomy
251G00000X Hospice Care, Community Based
Enumeration Date
2015-04-17
Last Update Date
2015-04-17
Business Address
UT - SIGNATURE HPC LLC
3544 E 17TH ST SUITE 201
AMMON, ID 83406-6911
Phone number: 208-524-0685
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Mailing Address
UT - SIGNATURE HPC LLC
3544 E 17TH ST SUITE 201
AMMON, ID 83406-6911
Phone number: 208-524-0685
Copy
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