National Provider Identifier Database

AVALON HOSPICE LLC
Hospice Care, Community Based


Contact Information

AVALON HOSPICE, LLC
403 1ST ST
IDAHO FALLS, ID83401-3928
Phone: 208-419-0896
Fax: 208-419-0974
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for AVALON HOSPICE, LLC

NPI Number 1497031421
Legal business name
LBN
AVALON HOSPICE, LLC
Authorized official JACOB BRYAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/21/2011
Last updated 10/21/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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