Legacy Hospice Care, LLC

NPI #1104823038 in Meridian, Idaho

Provider Information

NPI Number
1104823038
Entity Type
Organization
Organization Name
Legacy Hospice Care, LLC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Jul 7, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
680 S PROGRESS AVE
Address 2
SUITE 2A
State
Idaho
ZIP Code
83642-2957
Phone
(208) 895-8686

Authorized Official

Name
CHRISTIE LYNN ROACH, R.N.
Title
ADMINISTRATOR
Phone
(208) 895-8686

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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