Organization · Type 2 NPI

State of Idaho

Community Based Hospice Care Agency · Pocatello, ID

NPI number 1902995814 Active

Practice location

1901 Alvin Ricken Dr
Pocatello, ID 83201-2727

Call (208) 239-5240 Map

Fax (208) 478-6306

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000X13-1512 (ID)

Community Based Hospice Care Agency: Definition to come...

12 other providers at this address

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About NPI 1902995814

State of Idaho's National Provider Identifier is 1902995814, issued on Oct 11, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 22, 2020.