Organization
S&G HOSPICE OF IDAHO LLC
Active
Other names
Alliance Hospice of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD STAUFFER (OWNER/MANAGING MEMBER)
(208) 552-0249
Entity
Organization
Contact information
Practice address
1655 1ST ST, IDAHO FALLS, ID 83401-4305
(208) 552-0249
Mailing address
6255 E PARTRIDGE CIR, AMMON, ID 83401-5925
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
10/20/2020
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