Organization · NPI-2

Complete Hospice Care Of Boise LLC

Hospice Care, Community Based · Meridian, ID

NPI number1013317064
StatusActive
Last updated in NPPESJan 8, 2020

Details

NPI
1013317064
Entity type
Organization (NPI-2)
Legal business name
Complete Hospice Care Of Boise LLC
Organization subpart
No
Enumeration date
Aug 27, 2014
Certification date
Jan 8, 2020
Last updated
Jan 8, 2020

Taxonomy and licenses

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

Practice location

1940 S Bonito Way Ste 140
Meridian, ID 83642-2625

Phone 208-391-2724

Mailing address

7558 W Thunderbird Rd # 493
Peoria, AZ 85381-6080

Phone 208-391-2724 · Fax 888-858-4402

Authorized official

Charlotte Igo
Business Partner
2083912724

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