| NPI | 1982036414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DAWN MCKEAN Manager 435-795-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: UT 2013HOSPICEUT000602) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-12-11 |