Lighthouse Hospice LLC

NPI #1477096220 in Meridian, Idaho

Provider Information

NPI Number
1477096220
Entity Type
Organization
Organization Name
Lighthouse Hospice LLC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Nov 28, 2016
Last Updated
May 9, 2024

Practice Location

Address
2667 E GALA CT STE 100
State
Idaho
ZIP Code
83642-2792
Phone
(208) 576-6383

Authorized Official

Name
KELLIE ANNE STANGER, RN
Title
ADMINISTRATOR
Phone
(208) 576-6383

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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