| Organization Name: | ELEVATION HOSPICE OF UTAH, LLC |
| NPI Number: | 1154744548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL ROGERS (MANAGER) |
| Mailing Address: | 21 E 100 N #105 American Fork |
| State: | UT US |
| Postal Code: | 840031651 |
| Phone Number: | 8016101868 |
| Fax Number: | 8016422486 |
| NPI Enumeration Date: | 01/21/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |