Organization
PACIFIC HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIZA PETROSYAN (OWNER)
(986) 867-8909
Entity
Organization
Contact information
Practice address
950 W BANNOCK ST, SUITE 1100 OFFICE 1104, BOISE, ID 83702
(986) 867-8909
Mailing address
950 W BANNOCK ST, SUITE 1100 OFFICE 1104, BOISE, ID 83702
(986) 867-8909
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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