Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1346886561 |
| LBN Legal business name | GLACIER PEAK HEALTHCARE, INC. |
| Authorized official | LEE JOHNSON - (TREASURER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/22/2019 |
| Last updated | 03/15/2021 - About 5 years ago |
| Identifiers | n/a |
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