| Organization Name: | SQUIRE BOYS, INC. |
| NPI Number: | 1427480714 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEREK SQUIRE (ADMINISTRATOR) |
| Mailing Address: | 415 Medical Dr Ste C102 Bountiful |
| State: | UT US |
| Postal Code: | 840108902 |
| Phone Number: | 8013350522 |
| Fax Number: | 8013350523 |
| NPI Enumeration Date: | 08/08/2013 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2012-HOSPICE-92677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |