| NPI | 1528175635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LARSEN Owner/CEO 435-753-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: WY 07-156) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |