| Organization Name: | DIGNITY HOSPICE - DAV, LLC |
| NPI Number: | 1437270568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRICE NEFF WILSON (CEO OWNER) |
| Mailing Address: | 327 Gordon Ave, #3 Layton |
| State: | UT US |
| Postal Code: | 84041 |
| Phone Number: | 8014924892 |
| Fax Number: | 8017703322 |
| NPI Enumeration Date: | 04/03/2007 |
| 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: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |