| Organization Name: | ALPHA OMEGA HOSPICE LLC |
| NPI Number: | 1366592784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AARON JENKINS (MEMBER) |
| Mailing Address: | 257 South Orem Blvd Orem |
| State: | UT US |
| Postal Code: | 840583009 |
| Phone Number: | 8012251080 |
| Fax Number: | 8012251069 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2011-HOSPICE-79509 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |