Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1326697558 |
| LBN Legal business name | IDAHO IN-HOME PARTNER-I, LLC |
| Authorized official | MARCUS MACIP - (SECRETARY) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/10/2019 |
| Last updated | 09/06/2024 - More than a year ago |
| Identifiers | n/a |
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