National Provider Identifier Database

HOSPICE ALLIANCE OF IDAHO LLC
Hospice Care, Community Based


Contact Information

HOSPICE ALLIANCE OF IDAHO, LLC
1270 S WOODRUFF AVE
IDAHO FALLS, ID83404-5544
Phone: 208-552-0249
Fax: 208-552-6172
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for HOSPICE ALLIANCE OF IDAHO, LLC

NPI Number 1730294463
Legal business name
LBN
HOSPICE ALLIANCE OF IDAHO, LLC
Authorized official JUSTIN LARSEN - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 08/21/2006
Last updated 08/22/2020 - About 6 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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