Organization
COMMUNITY CARE HOSPICE INC
Active
Organization
COMMUNITY CARE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRANUSH KESHISH GHUKASYAN (OWNER)
(208) 606-3632
Entity
Organization
Contact information
Practice address
151 N 3RD AVE STE 202A, POCATELLO, ID 83201-6368
(206) 606-3632
Mailing address
151 N 3RD AVE STE 202A, POCATELLO, ID 83201-6368
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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