| Organization Name: | VALI DIVISION OF WASATCH, INC |
| NPI Number: | 1871535138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEE R BANGERTER (PRESIDENT) |
| Mailing Address: | 28 N Main St Blanding |
| State: | UT US |
| Postal Code: | 845112830 |
| Phone Number: | 4356783266 |
| Fax Number: | 4356784054 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2005-HOSPICE-830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |