| NPI | 1699593376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE ELD Executive Director 208-529-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |