Organization Name: | ACCESS HOSPICE CARE LLC |
NPI Number: | 1164472445 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY TARBET (BUSINESS ADMINISTRATOR) |
Mailing Address: | 190 W Burnside Ave Suite E Chubbuck |
State: | ID US |
Postal Code: | 832022411 |
Phone Number: | 2086372273 |
Fax Number: | 4357556548 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |