| Organization Name: | HOSPICE CARE OF NORTHERN UTAH, LLC |
| NPI Number: | 1659505501 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EILEEN D WOOD (OWNER/ADMINISTRATOR) |
| Mailing Address: | 2721 N Hwy 89 Suite 200 Pleasant View |
| State: | UT US |
| Postal Code: | 844046258 |
| Phone Number: | 8016893049 |
| Fax Number: | 8016893045 |
| NPI Enumeration Date: | 05/06/2009 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1015860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |