Organization Name: | MOUNTAIN VALLEY HOSPICE, INC |
NPI Number: | 1376648790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKI L. BEECHER (CEO) |
Mailing Address: | 1186 E 4600 S Suite 200 Ogden |
State: | UT US |
Postal Code: | 844034332 |
Phone Number: | 8014764410 |
Fax Number: | 8014764186 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
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: |