Organization Name: | HOSPICE OF THE PALOUSE |
NPI Number: | 1134271224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE A NELSON (DIRECTOR) |
Mailing Address: | 700 S Main St Moscow |
State: | ID US |
Postal Code: | 838433056 |
Phone Number: | 2088831228 |
Fax Number: | 2088836519 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HH-133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |