- Enrollment id
- O20030405000002
- Enrollment state
- WA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1669554275
- Multiple npi flag
- N
- Ccn
- 501535
- Associate id
- 7517876535
- Organization name
- HORIZON HEALTH CARE L L C
- Doing business as name
- HORIZON HOSPICE
- Incorporation date
- 1996-03-29
- Incorporation state
- WA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 608 E HOLLAND AVE
- City
- SPOKANE
- State
- WA
- Zip code
- 992181255