Organization
LIFES DOORS HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L LANGENFELD PHD (CEO)
(208) 344-6500
Entity
Organization
Contact information
Practice address
420 S ORCHARD, BOISE, ID 83705-0754
(208) 344-6500
(208) 344-6590
Mailing address
PO BOX 5754, 420 S ORCHARD, BOISE, ID 83705-0754
(208) 344-6500
(208) 344-6590
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014564
BS
ID
01
—
H0143
BC
ID
Enumeration date
03/10/2006
Last updated
08/22/2020
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