| Organization Name: | XL HOSPICE, INC. |
| NPI Number: | 1043411861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DWIGHT ERWIN OLSON (OWNER) |
| Mailing Address: | 2480 Highway 52 Payette |
| State: | ID US |
| Postal Code: | 836615536 |
| Phone Number: | 2086429222 |
| Fax Number: | 2086429224 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW1449 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |