| NPI | 1932656923 |
|---|---|
| Doing Business As | CARESOURCE HOSPICE AT HOME |
| Entity Type | Organization |
| Authorized Contact | SHAWNTEL YATES TANNER Administrator 801-266-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2016) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-11-14 |