Organization
LIGHTHOUSE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE ANNE STANGER RN (ADMINISTRATOR)
(208) 576-6383
Entity
Organization
Contact information
Practice address
2667 E GALA CT STE 100, MERIDIAN, ID 83642-2792
(208) 576-6383
(208) 884-4048
Mailing address
2667 E GALA CT STE 100, MERIDIAN, ID 83642-2792
(208) 576-6383
(208) 884-4048
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
05/09/2024
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