| NPI | 1437731650 |
|---|---|
| Doing Business As | RIVERSIDE HOSPICE |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |