Organization Name: | TENDER CARE HOSPICE LLC |
NPI Number: | 1497735237 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLI A FOX (ADMINISTRATOR) |
Mailing Address: | 1137 Heather Cir Farmington |
State: | UT US |
Postal Code: | 840254305 |
Phone Number: | 8014474715 |
Fax Number: | 8662995156 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 04/20/2008 |
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: |