| NPI | 1720099229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG VAL DAVIDSON Administrator 435-438-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2005-HOSPICE-63766) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-04-24 |