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Community Pcs PLLC

Hospice Care, Community Based in Idaho Falls, ID. Organization (NPI-2).

NPI number1003202136
StatusActive
Last updated in NPPESNov 6, 2018

Details

NPI
1003202136
Entity type
Organization (NPI-2)
Legal business name
Community Pcs PLLC
Organization subpart
No
Enumeration date
Apr 15, 2015
Last updated
Nov 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Practice location

1680 Elk Creek Dr
Idaho Falls, ID 83404-1225

Phone 208-524-0685 · Fax 208-524-0686

Mailing address

1680 Elk Creek Dr
Idaho Falls, ID 83404-1225

Phone 208-524-0685 · Fax 208-524-0686

Authorized official

Richard K Nebeker
Administrator
2085240685

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