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HOSPICE STORE AND SUPPLIES (THE)

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Company Details

Name: HOSPICE STORE AND SUPPLIES (THE)
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 23 May 2011 (14 years ago)
Entity Number: 449917
Place of Formation: IDAHO
File Number: 0000449917
ZIP code: 83442
County: Jefferson County
Mailing Address: 134 N 3966 E RIGBY, ID 83442

National Provider Identifier

NPI Number:
1851677827

Authorized Person:

Name:
MR. SHAWN KARL BOSH
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
Yes

Contacts:

Fax:
2087458739

Filing

Filing Name Filing Number Filing date
Initial Filing 0000449917 2011-05-23

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State