| NPI | 1194025130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN BUNKER Director 435-656-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2010-HOSPICE-79732) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |