| NPI | 1306083159 |
|---|---|
| Doing Business As | PINE MOUNTAIN HOSPICE |
| Entity Type | Organization |
| Authorized Contact | TRACE D. OSBORNE Manager 801-272-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2014-02-21 |