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NPI 1477096220 · live from the CMS NPI Registry

Lighthouse Hospice LLC

Hospice Care, Community Based in Meridian, ID. National Provider Identifier 1477096220, active.

NPI record

NPI1477096220 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location2667 E Gala Ct Ste 100, Meridian, ID 83642
Practice phone208-576-6383
EnumeratedNovember 28, 2016
Last updatedMay 9, 2024
Authorized officialKellie Stanger, Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.