| Organization Name: | SAINT ALPHONSUS HOME HEALTH AND HOSPICE, LLC |
| NPI Number: | 1518911890 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA M BOGUCKI (CEO) |
| Mailing Address: | 9199 W Black Eagle Dr Boise |
| State: | ID US |
| Postal Code: | 837091572 |
| Phone Number: | 2083218641 |
| Fax Number: | 2083218647 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | NA |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |