| NPI | 1386129666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYN DAVIS VP Of Health Services 208-473-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2022-11-07 |