Organization Name: | TOOELE HOME CARE SERVICES LLC |
NPI Number: | 1144286477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE HOTSFORD (AUTHORIZED OFFICIAL / DIR BUS OFF) |
Mailing Address: | 255 S 100 E Tooele |
State: | UT US |
Postal Code: | 840742779 |
Phone Number: | 4358824163 |
Fax Number: | 4358827821 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2006-HOSPICE-70864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |