| NPI | 1700244076 |
|---|---|
| Doing Business As | AVALON HOSPICE |
| Entity Type | Organization |
| Authorized Contact | ROSEY RUPP Administrator 208-538-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-01-03 |