NPI | 1366558884 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN LARSEN Owner/CEO 435-753-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2006-HOSPICE-68122) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-22 |