Organization
XL HOSPICE, INC.
Active
Other names
XL Palliative Care Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT ERWIN OLSON LCSW (OWNER)
(208) 642-9222
Entity
Organization
Contact information
Practice address
2480 HIGHWAY 52, PAYETTE, ID 83661-5536
(208) 642-9222
(208) 642-9224
Mailing address
57 GROVE RD, ONTARIO, OR 97914-8155
(208) 262-3443
(208) 642-9224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW1449
OR
1041C0700X
Clinical Social Worker
Primary
LCSW707
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19523088751
BUSINESS NPI
ID
Enumeration date
05/30/2007
Last updated
04/20/2008
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