Organization
BOISE MEMORIAL HOSPICE LLC
Active
Other names
Boise Memorial Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KAY CAMPBELL (OWNER/DIRECTOR)
(208) 938-4100
Entity
Organization
Contact information
Practice address
600 E STATE ST, SUITE 300, EAGLE, ID 83616-6081
(208) 938-4100
(208) 938-4564
Mailing address
600 E STATE ST, SUITE 300, EAGLE, ID 83616-6081
(208) 938-4100
(208) 938-4564
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804269500
—
ID
Enumeration date
05/24/2005
Last updated
05/20/2009
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