Organization
TETON HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEIS (ADMINISTRATOR)
(208) 529-3636
Entity
Organization
Contact information
Practice address
2470 JAFER COURT, IDAHO FALLS, ID 83404-7575
(208) 529-3636
Mailing address
2470 JAFER COURT, IDAHO FALLS, ID 83404-7575
(208) 529-3636
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
04/04/2013
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