Bulk check

Avalon Hospice, LLC

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

NPI number1497031421
StatusActive
Last updated in NPPESOct 21, 2011

Details

NPI
1497031421
Entity type
Organization (NPI-2)
Legal business name
Avalon Hospice, LLC
Organization subpart
No
Enumeration date
Oct 21, 2011
Last updated
Oct 21, 2011

Taxonomy and licenses

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

Practice location

403 1st St
Idaho Falls, ID 83401-3928

Phone 208-419-0896 · Fax 208-419-0974

Mailing address

403 1st St
Idaho Falls, ID 83401-3928

Phone 208-419-0896 · Fax 208-419-0974

Authorized official

Jacob Raymond Bryan
Owner
2084190896

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Hospice Care, Community Based providers in Idaho Falls, ID

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check