Organization Name: | XL HOSPICE INC |
NPI Number: | 1952308751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA B OLSON (OWNER) |
Mailing Address: | 2480 Highway 52 Payette |
State: | ID US |
Postal Code: | 836615536 |
Phone Number: | 2086429222 |
Fax Number: | 2086429224 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0699275-7 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |