| NPI | 1962126359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMALATHA YARAMADA CEO 208-241-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251G00000X Hospice Care, Community Based | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-10-20 |