Organization · NPI-2

Copper Falls Hospice LLC

Hospice Care, Community Based · Meridian, ID

NPI number1881468189
StatusActive
Last updated in NPPESNov 8, 2023

Details

NPI
1881468189
Entity type
Organization (NPI-2)
Legal business name
Copper Falls Hospice LLC
Organization subpart
No
Enumeration date
Nov 8, 2023
Certification date
Nov 7, 2023
Last updated
Nov 8, 2023

Taxonomy and licenses

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

Practice location

1830 S. Eagle Road
Meridian, ID 83642

Phone 208-899-5013

Mailing address

400 Exchange Ste 140
Irvine, CA 92602-1343

Authorized official

Jose Lynch
Manager
7146736810

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