Organization Name: | HOSPICE FOR UTAH INC. |
NPI Number: | 1013900661 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALETHEA M MARTINEZ (ADMINISTRATOR) |
Mailing Address: | 11639 S 700 E Suite 100 Draper |
State: | UT US |
Postal Code: | 840208269 |
Phone Number: | 8015761455 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2005-HOSPICE-897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |