| NPI | 1427480714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SQUIRE Administrator 801-602-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2012-HOSPICE-92677) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |