Organization Name: | MOUNTAIN REGION HOSPICE & HOMECARE, LLC |
NPI Number: | 1902044563 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE M MORRISON (OWNER) |
Mailing Address: | 106 W 500 S Suite 103 Bountiful |
State: | UT US |
Postal Code: | 840106203 |
Phone Number: | 8013350522 |
Fax Number: | 8013350523 |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 09/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2010-HOSPICE-92677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |