Organization
DOCTOR'S HOSPICE OF IDAHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY JO COPELAND (OWNER)
(208) 573-2580
Entity
Organization
Contact information
Practice address
1552 N CRESTMONT DR STE B, MERIDIAN, ID 83642-2191
(208) 985-2260
(208) 985-2261
Mailing address
1552 N CRESTMONT DR STE B, MERIDIAN, ID 83642-2191
(208) 985-2260
(208) 985-2261
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871946483
—
ID
Enumeration date
07/19/2016
Last updated
06/11/2025
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