Organization Name: | ASHBY HOSPICE LLC |
NPI Number: | 1558750067 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES SCHRADER SCHRADER (ADMINISTRATOR) |
Mailing Address: | 12401 S 450 E Suite F2 Draper |
State: | UT US |
Postal Code: | 840208155 |
Phone Number: | 8014782521 |
Fax Number: | 8017978667 |
NPI Enumeration Date: | 01/21/2015 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 9116925-0160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |