| NPI | 1659799567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBB REDFORD Owner 208-604-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: ID LMSW - 26140) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |