Organization
ACHS HOSPICE & PALLITIVE CARE LLC
Active
Other names
Caring Edge O P
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LOUGHEED PT (PT/DIRECTOR)
(208) 473-2717
Entity
Organization
Contact information
Practice address
815 S BRIDGE WAY PL STE 122, EAGLE, ID 83616-6022
(208) 473-2717
(877) 890-5617
Mailing address
815 S BRIDGE WAY PL STE 122, EAGLE, ID 83616-6022
(208) 473-2717
(877) 890-5617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3215
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-3215
ID LICENSE
ID
Enumeration date
09/06/2017
Last updated
07/21/2022
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