| NPI | 1235353236 |
|---|---|
| Other Name | CARESOURCE HOSPICE |
| Entity Type | Organization |
| Authorized Contact | SHAWNTEL TANNER Administrator 801-266-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2006-HOSPICE-30731) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-03-16 |