KEYSTONE HOSPICE, LLC — Medicare Hospice Provider (EAGLE, ID)
KEYSTONE HOSPICE, LLC — Medicare Hospice Provider (EAGLE, ID) is one of 6,066 hospice providers in the HospiceLens dataset. Key details — Hospice name: KEYSTONE HOSPICE, LLC; Legal name: KEYSTONE HOSPICE, LLC; NPI: 1427421114.
| Hospice name | KEYSTONE HOSPICE, LLC |
|---|---|
| Legal name | KEYSTONE HOSPICE, LLC |
| NPI | 1427421114 |
| CCN | 131574 |
| City | EAGLE |
| State | ID |
| ZIP | 836164796 |
| Address | 21 N FISHER PARK WAY |
| Ownership | P |
| Org structure | LLC |
| Incorporation date | 2015-10-13 |
| Source | CMS Hospice Enrollments |
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