Organization Name: | INTEGRITY HOSPICE, L.L.C. |
NPI Number: | 1881856706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLAS ADAM LARSEN (CEO/OWNER) |
Mailing Address: | 2351 N 400 E Apt. 121 Logan |
State: | UT US |
Postal Code: | 843411759 |
Phone Number: | 4357526600 |
Fax Number: | 4357526602 |
NPI Enumeration Date: | 07/01/2008 |
NPI Last Update Date: | 09/28/2015 |
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: |