NPI 1497031421 · live from the CMS NPI Registry
Avalon Hospice, LLC
Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1497031421, active.
NPI record
| NPI | 1497031421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 403 1st St, Idaho Falls, ID 83401 |
| Practice phone | 208-419-0896 |
| Enumerated | October 21, 2011 |
| Last updated | October 21, 2011 |
| Authorized official | Jacob Bryan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.