Organization Name: | TREASURE VALLEY HOSPICE, LLC |
NPI Number: | 1659553196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLARK E. LIMB (OWNER) |
Mailing Address: | 8 6th St N Suite 200 Nampa |
State: | ID US |
Postal Code: | 836875016 |
Phone Number: | 2084677423 |
Fax Number: | 2084756038 |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 03/19/2012 |
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: |