Organization
KEYSTONE HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD JENSEN (PRESIDENT)
(208) 996-8181
Entity
Organization
Contact information
Practice address
21 N FISHER PARK WAY, EAGLE, ID 83616-4796
(208) 996-8181
(208) 549-7880
Mailing address
21 N FISHER PARK WAY, EAGLE, ID 83616-4796
(208) 996-8181
(208) 549-7880
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
08/08/2019
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