| NPI | 1952673469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO GONZALEZ Administrator 801-753-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 106230) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2016-08-16 |